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KISSEL GOLDMAN
NPI 1144877895
Behavior Analyst in Jacksonville, FL

Active since August 19, 2019
8777 SAN JOSE BLVD STE 801, JACKSONVILLE, FL 32217(904) 374-6403 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2021, Aug 19, 2019 (2 updates tracked since 2019).

About Kissel Goldman NPPES

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

KISSEL GOLDMAN (NPI 1144877895) is an individual behavior analyst provider in Jacksonville, Florida, licensed in Florida (1-21-47979) and active in the NPI registry since August 2019. He maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1144877895
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameKISSEL GOLDMAN
Location Address8777 SAN JOSE BLVD STE 801Jacksonville, FL 32217-4291
Mailing Address8777 San Jose Blvd Ste 801Jacksonville, FL 32217-4291 · (904) 374-6403
Phone(904) 374-6403
Sole ProprietorYes
Enumeration DateAugust 19, 2019
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1144877895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in FL · 1-21-47979
Definition
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
8777 SAN JOSE BLVD STE 801, Jacksonville, FL 32217
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Secondary Practice Location 1

Location 12035 SW 75th St Ste BGainesville, FL 32607-3425 · Phone (352) 332-8588 ext. 1 · Fax (352) 332-8589

Other Providers at the Same Location NPPES 5

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

SOPHIE GIBBONS
Behavior Technician
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Duval County (904) 374-6403
ADALYN SNOW GRAHAM
Behavior Analyst
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Duval County (904) 374-6403
MARY ALICE TAYLOR RMHCI
Counselor (Mental Health)
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Duval County (904) 374-6403
BRIANNA WOODALL RBT
Behavior Technician
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Duval County (904) 374-6403
MS. CATHERINE BAKER SIMMS PHD, BCBA-D
Behavior Analyst
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Duval County (904) 374-6403

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 Kissel Goldman's NPI number?

The NPI number for Kissel Goldman is 1144877895. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Kissel Goldman located?

Kissel Goldman practices at 8777 San Jose Blvd Ste 801, Jacksonville, FL 32217. The listed phone number is (904) 374-6403.

What is Kissel Goldman's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Kissel Goldman was last updated on March 23, 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.