KISSEL GOLDMAN
NPI 1144877895
Behavior Analyst in Jacksonville, FL
- Individual
- Male
- Behavior Analyst
About KISSEL GOLDMAN
This page provides the complete NPI Profile along with additional information for Kissel Goldman, a provider established in Jacksonville, Florida with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1144877895 assigned on August 2019. The practitioner's primary taxonomy code is 103K00000X with license number 1-21-47979 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1144877895 Verify this NPI
- Provider Name
- KISSEL GOLDMAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8777 SAN JOSE BLVD STE 801 JACKSONVILLE, FL 32217
- Location Phone
- (904) 374-6403
- Mailing Address
- 8777 SAN JOSE BLVD STE 801 JACKSONVILLE, FL 32217
- Mailing Phone
- (904) 374-6403
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-19-2019
- Last Update Date
- 03-23-2021
- Code Navigator
Location Map
Secondary Locations
- 2035 SW 75th St Ste B
Gainesville, FL 32607
(352) 332-8588
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1-21-47979
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32217
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144877895, enumerated as an "individual" on August 19, 2019.
The provider is located at 8777 SAN JOSE BLVD STE 801 JACKSONVILLE, FL 32217 and the phone number is (904) 374-6403.
Behavior Analyst with taxonomy code 103K00000X.