JACKLYN MARIE GOODSON (NPI# 1063982361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063982361 |
| Entity Type | Individual |
| Full Name | JACKLYN MARIE GOODSON |
| Practice Address |
50 Gene Cash Rd Campbellsville KY 42718 |
| Practice Telephone | 2704657768 |
| Mailing Telephone | 2704657768 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-63713 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Tower Cir, Somerset, KY 425033480 | 6064165139 | 6064165239 |
| 529 Westport Rd, Elizabethtown, KY 427012949 | 2707638225 | 2707638125 |
| Street Address |
50 GENE CASH RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700974425 | Rebecca H. Price | Counselor | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2006-10-10 |
| 1053919688 | Leletha Darlene Conover | Counselor | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2020-10-15 |
| 1689280745 | Josie Lee Nevitt | Occupational Therapist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2020-09-23 |
| 1558987495 | Mackenzie Anne Meissner | Speech-Language Pathologist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2020-06-16 |
| 1972128114 | Maria Hook | Speech-Language Pathologist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2020-06-13 |
| 1881225993 | Jennifer Coke Davis | Speech-Language Pathologist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2020-01-28 |
| 1598315715 | Stephanie Donnelly | Occupational Therapist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2019-09-19 |
| 1346809746 | Amanda Gullett | Speech-Language Pathologist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2019-06-10 |
| 1174189013 | Anneliese Danielle Way | Behavior Technician | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2019-05-16 |
| 1053871087 | Allison Sallee | Speech-Language Pathologist | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189013 | Anneliese Danielle Way | Behavior Technician | 50 Gene Cash Rd, Campbellsville, KY 42718-4908 | 2019-05-16 |
| 1326560053 | Crissy Rae Woods | Behavior Technician | 121 Casey St Ste A, Campbellsville, KY 42718-6858 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068486 | Chelcie Day | Behavior Technician | 468 Sievers Rd, Nancy, KY 42544-8895 | 2020-09-16 |
| 1831703404 | Halie N Koch | Behavior Technician | 31 Collard Ln, Hardinsburg, KY 40143-4899 | 2020-09-01 |
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1346858685 | Karla Greene | Behavior Technician | 12808 W Us Highway 60, Olive Hill, KY 41164-8090 | 2020-07-22 |
| 1720606155 | Jennifer Michelle Cundiff | Behavior Technician | 309 Hurt St Apt 202, Columbia, KY 42728-2303 | 2020-07-13 |
| 1710504063 | Alyssa Jones | Behavior Technician | 2831 S Hurstbourne Pkwy Ste A, Louisville, KY 40220-4112 | 2020-07-02 |
| 1427672476 | Amy Lynn Bowling | Behavior Technician | 12008 W Hwy 60, Olive Hill, KY 41164 | 2020-06-05 |
| 1235765082 | Debbie Lynn Hudson | Behavior Technician | The Kidspot Center, 12008 W Us 60, Olive Hill, KY 40351 | 2020-03-12 |
| 1285269043 | Davon Dejoun Adams | Behavior Technician | 3712 Georgetown Cir Apt 3, Louisville, KY 40215-1635 | 2020-03-11 |
| 1598390825 | Krista Stone | Behavior Technician | 12008 West Highway 60, Olive Hill, KY 41164 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.