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: July 19, 2026.

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

  • 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
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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)
1106S00000XBehavioral 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.

Behavior Analyst
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Behavior Technician
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Behavior Technician
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Counselor (Mental Health)
8777 SAN JOSE BLVD STE 801
JACKSONVILLE, FL 32217
Behavior Analyst
8777 SAN JOSE BLVD STE 801
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.