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RAY TRAVIS GOODIN
NPI 1023566023
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Las Vegas, NV

Active since September 19, 2016
2625 WYANDOTTE ST, # 17, LAS VEGAS, NV 89102(313) 433-7330 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ray Travis Goodin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAY TRAVIS GOODIN (NPI 1023566023) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Las Vegas, Nevada and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1023566023
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameRAY TRAVIS GOODIN
Location Address2625 WYANDOTTE ST, # 17Las Vegas, NV 89102-6471
Mailing Address2625 Wyandotte St, # 17Las Vegas, NV 89102-6471 · (313) 433-7330
Phone(313) 433-7330
Sole ProprietorYes
Enumeration DateSeptember 19, 2016
Last NPPES UpdateOctober 7, 2016
✔ NPI 1023566023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedBehavior TechnicianTaxonomy 106S00000X
2625 WYANDOTTE ST, Las Vegas, NV 89102
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Goodin's NPI number?

The NPI number for Ray Goodin is 1023566023. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Ray Goodin located?

Ray Goodin practices at 2625 Wyandotte St # 17, Las Vegas, NV 89102. The listed phone number is (313) 433-7330.

What is Ray Goodin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ray Goodin was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.