LYDIA MICHELLE REVA GODDARD
NPI 1609360155
Behavior Technician in Traverse City, MI

Active since June 19, 2018
1363 DOUGLAS DR STE 110, TRAVERSE CITY, MI 49696(231) 668-4909 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lydia Michelle Reva Goddard NPPES

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

LYDIA MICHELLE REVA GODDARD (NPI 1609360155) is an individual behavior technician in Traverse City, Michigan and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1609360155
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLYDIA MICHELLE REVA GODDARD
Location Address1363 DOUGLAS DR STE 110Traverse City, MI 49696-8980
Mailing Address1363 Douglas Dr Ste 110Traverse City, MI 49696-8980
Sole ProprietorNo
Enumeration DateJune 19, 2018
NPI 1609360155 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.
1363 DOUGLAS DR STE 110, Traverse City, MI 49696

Other Providers at the Same Location NPPES 2

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

Behavior Technician
1363 DOUGLAS DR STE 110
TRAVERSE CITY, MI 49696
Behavior Technician
1363 DOUGLAS DR STE 110
TRAVERSE CITY, MI 49696

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 Lydia Goddard's NPI number?

The NPI number for Lydia Goddard is 1609360155. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Lydia Goddard located?

Lydia Goddard practices at 1363 Douglas Dr Ste 110, Traverse City, MI 49696. The listed phone number is (231) 668-4909.

What is Lydia Goddard'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 Lydia Goddard was last updated on June 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.