NPI 1457945172 · live from the CMS NPI Registry
Jenna Lee Goldsmith
Behavior Analyst in Cedar Rapids, IA. National Provider Identifier 1457945172, active.
NPI record
| NPI | 1457945172 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5945 Rockwell Dr Ne, Cedar Rapids, IA 52402 |
| Practice phone | 319-382-9318 |
| Mailing address | 1285 120th St, Strawberry Point, IA 52076 |
| Enumerated | February 23, 2021 |
| Last updated | March 11, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.