COURTNEY GOODMAN (NPI# 1720644719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720644719 |
| Entity Type | Individual |
| Full Name | COURTNEY GOODMAN |
| Practice Address |
340 B Ave Lake Oswego OR 97034-3012 |
| Mailing Address |
7205 N Reno Ave Portland OR 97203-1401 |
| Practice Telephone | 5033037212 |
| Mailing Telephone | 5038607554 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 629 Jefferson St Ne, Albuquerque, NM 871106201 | 5038607554 | |
| 805 Liberty St Ne Ste 2, Salem, OR 973012463 | 5039915091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700813516 | Courtney Hanna Goodman | Physician Assistant | 10 Medical Center Blvd Ste I, Lufkin, TX 75904-3163 | 2006-06-27 |
| 1669605440 | Courtney Fenwick Goodman | Pharmacist | 3054 Columbia Ave, Franklin, TN 37064-7424 | 2009-08-27 |
| Street Address |
340 B AVE |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508295080 | Jessica Marie Cyr | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2013-11-05 |
| 1669073656 | Cassandra Scroppo | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-11-05 |
| 1295336287 | Justyne Williams | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-11-05 |
| 1821605999 | Kourtland Thompson | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-09-23 |
| 1184231250 | Jasroop Bains | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-09-23 |
| 1215540265 | Colette Lynch-sajo | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-08-28 |
| 1073147013 | Karolina Mishchenko | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-28 |
| 1548894538 | Amira Parrott | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-27 |
| 1477187664 | Natalie Knell | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-26 |
| 1609400894 | Jennifer Murphy | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| 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 |
|---|---|---|---|---|
| 1508295080 | Jessica Marie Cyr | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2013-11-05 |
| 1669073656 | Cassandra Scroppo | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-11-05 |
| 1295336287 | Justyne Williams | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-11-05 |
| 1821605999 | Kourtland Thompson | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-09-23 |
| 1184231250 | Jasroop Bains | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-09-23 |
| 1215540265 | Colette Lynch-sajo | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-08-28 |
| 1073147013 | Karolina Mishchenko | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-28 |
| 1548894538 | Amira Parrott | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-27 |
| 1477187664 | Natalie Knell | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-26 |
| 1609400894 | Jennifer Murphy | Behavior Technician | 340 B Ave, Lake Oswego, OR 97034-3012 | 2020-02-26 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
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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.