JEFFREY GOODELL (NPI# 1275923245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275923245 |
| Entity Type | Individual |
| Full Name | JEFFREY GOODELL |
| Practice Address |
67 Shaker Rd Gray ME 04039-9640 |
| Practice Telephone | 2076577700 |
| Mailing Telephone | 2076577700 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | MC15203 | ME | Behavioral Health & Social Service Providers |
| Street Address |
67 SHAKER RD |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952334021 | Christopher Aaron Counseling Center LLC | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-07-09 |
| 1174991681 | Amanda Dibiase | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2015-09-14 |
| 1316297187 | Jessica Romanoff Burton | Counselor | 67 Shaker Rd, #7, Gray, ME 04039-9640 | 2012-09-19 |
| 1770839615 | Jeffrey Robert Duquette | Social Worker | 67 Shaker Rd, Gray, ME 04039-9640 | 2012-07-30 |
| 1730495094 | Christopher Aaron Counseling Center | Social Worker | 67 Shaker Rd, Ste. 7, Gray, ME 04039-9640 | 2010-08-25 |
| 1821325721 | Catherine E. Schwenk | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2009-11-13 |
| 1174763742 | Alison Lynn Catey | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2009-02-23 |
| 1467691105 | Helen Elaine Richardson | Counselor | 67 Shaker Rd, Gray, ME 04039-9640 | 2009-02-19 |
| 1386704344 | Wendy N. Kjeldgaard | Psychologist | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-12-11 |
| 1568533156 | Judith M Rice | Social Worker | 67 Shaker Rd, Suite 10, Gray, ME 04039-9640 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558705178 | Sherria Burney | Behavioral Analyst | 121 Office Park Dr, Gray, GA 31032-5849 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579707 | Mckenna Squiers | Behavioral Analyst | 16 Squiers Aly, Nobleboro, ME 04555-9604 | 2020-05-11 |
| 1952921678 | Sarah Howorth | Behavioral Analyst | 2 Riverdale Dr, Orono, ME 04473-4245 | 2020-04-22 |
| 1619529716 | Christopher Mcinnis | Behavioral Analyst | 747 Western Ave Ste 2, Manchester, ME 04351-3561 | 2019-07-10 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1508336116 | Lora Perry | Behavioral Analyst | 81 Webber Road, Georgetown, ME 04548 | 2018-11-27 |
| 1811470701 | Brett Dinovi Associates North | Behavioral Analyst | 305 Aa Main Street, Waterboro, ME 04087 | 2018-09-07 |
| 1326525874 | Jamie L Emerson | Behavioral Analyst | 69 Burnham St, Old Town, ME 04468-1940 | 2018-07-26 |
| 1033608757 | Katie Ann Dargie | Behavioral Analyst | 161 Roosevelt Trl, Naples, ME 04055-5437 | 2018-05-08 |
| 1376048991 | Sandra Titcomb | Behavioral Analyst | 2 Chelsey Way, Kennebunk, ME 04043-6888 | 2018-03-26 |
| 1225550460 | Atlantic Academy | Behavioral Analyst | 10 Knowlton St, Camden, ME 04843-1517 | 2017-07-10 |
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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.