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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE GODWIN, M.S., BCBA

Active Sole Proprietor

JACQUELINE GODWIN, M.S., BCBA is a Behavior Analyst healthcare provider located in MEDIA, Pennsylvania. NPI 1417212390 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · MEDIA, PA

Registration Details

NPI Number
1417212390
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2012 (14.078111572108 yrs)
Last Updated
Aug 12, 2021
License
1-10-7630 (PA)
Sole Proprietor
Yes

Practice Information

Address
77 W BALTIMORE PIKE STE 100B
MEDIA, PA, 190635639
Browse PA providers · Browse ZIP 19063
Phone
6105725520
Fax
6105725521
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in MEDIA, PA

Name Credential NPI
ALONNA MARCUS M.S., BCBA 1992933030
MRS. KAORI GUNJI NEPO BCBA 1528376704
AMY HULMES 1700278231
DR. TAMIKA MEDLEY ED.D. 1447646575
MRS. NADIA CHOUDRY 1881057347
THERESA PRAUL-DEFRANK M.A., BCBA, LBS 1700330313
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.