JENNIFER GOUGH
NPI 1013502038
Behavior Technician in Shakopee, MN

Active since March 02, 2021
4201 DEAN LAKES BLVD STE 160, SHAKOPEE, MN 55379(612) 509-6680 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Gough NPPES

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

JENNIFER GOUGH (NPI 1013502038) is an individual behavior technician in Shakopee, Minnesota and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1013502038
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJENNIFER GOUGH
Location Address4201 DEAN LAKES BLVD STE 160Shakopee, MN 55379-2863
Mailing Address4201 Dean Lakes Blvd Ste 160Shakopee, MN 55379-2863 · (612) 509-6680
Sole ProprietorNo
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
NPI 1013502038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
4201 DEAN LAKES BLVD STE 160, Shakopee, MN 55379

Other Identifiers 1

Medicaid1588993091MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379
Behavior Technician
4201 DEAN LAKES BLVD STE 160
SHAKOPEE, MN 55379

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 Jennifer Gough's NPI number?

The NPI number for Jennifer Gough is 1013502038. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Jennifer Gough located?

Jennifer Gough practices at 4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379. The listed phone number is (612) 509-6680.

What is Jennifer Gough's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Gough was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.