NPI 1275923245 · live from the CMS NPI Registry
Jeffrey Goodell
Behavior Analyst in Gray, ME. National Provider Identifier 1275923245, active.
NPI record
| NPI | 1275923245 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 67 Shaker Rd, Gray, ME 04039 |
| Practice phone | 207-657-7700 |
| Enumerated | January 29, 2015 |
| Last updated | January 29, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | MC15203 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.