COLE GOUDREAU (NPI# 1467040121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467040121 |
| Entity Type | Individual |
| Full Name | COLE GOUDREAU |
| Gender | Male |
| Credential | BCBA |
| Practice Address | 3001 N 3rd St Phoenix AZ 85012-3060 |
| Practice Telephone | 4803698282 |
| Mailing Address | 300 N 18th St Phoenix AZ 85006-4103 |
| Mailing Telephone | 4803698282 |
| Certification Date | 2021-01-06 |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | BEH-000566 | AZ | Behavioral Health & Social Service Providers |
| Street Address | 3001 N 3RD ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse · Psychiatric/Mental Health | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner · Family | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist · Speech-Language Assistant | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773643 | Athra Khdaier | 10873 W Devonshire Ave, Phoenix, AZ 85037-5760 | 2020-09-04 | |
| 1730793076 | Shelby Leinweber | 2095 W Pinnacle Peak Rd Ste 110b, Phoenix, AZ 85027-1247 | 2020-09-03 | |
| 1821609413 | Sonoran Learning and Behavioral Services LLC | 34225 N 27th Dr Bldg 4b, Phoenix, AZ 85085-6087 | 2020-08-17 | |
| 1225657547 | Az Sprout Mc 1 LLC | 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640 | 2020-04-16 | |
| 1487204087 | Elizabeth Vos | 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 | 2019-09-16 | |
| 1740832831 | Brandon Nehus | 14603 Old York Rd, Phoenix, MD 21131-1441 | 2019-07-10 | |
| 1689137309 | Dylan Marks | 1117 E Beryl Ave, Phoenix, AZ 85020-1539 | 2019-04-09 | |
| 1295297968 | Michelle Taylor | 1625 W Pecan Rd, Phoenix, AZ 85041-4640 | 2019-04-02 | |
| 1174010607 | Melissa Mallon | 1334 E Chandler Blvd Ste 5a01, Phoenix, AZ 85048-6267 | 2018-04-19 | |
| 1366959389 | Paige Nicole Huff | 6232 N 7th St Ste 100, Phoenix, AZ 85014-1850 | 2017-12-29 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306875042 | Charles Cole Memorial Hospital D/B/A Upmc Cole · Cole Clinic Group | Anesthesiology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2006-07-03 |
| 1629361415 | Christine E Goudreau | Physical Therapy Assistant | 445 Mountain Rd, Bloomingburg, NY 12721-4215 | 2011-05-26 |
| 1134293210 | Jennifer Goudreau | Counselor · Mental Health | 2772 4th Ave, San Diego, CA 92103-6206 | 2006-11-20 |
| 1851532824 | Yvonne A Goudreau | Counselor · Addiction (Substance Use Disorder) | 225 Wa Seh St, Saint Ignace, MI 49781-9490 | 2009-03-20 |
| 1609301829 | Krystal Goudreau | Registered Nurse | 113 N Lake St, Manistique, MI 49854-1234 | 2017-04-25 |
| 1538561113 | Sarrah Goudreau | Nurse Practitioner | 223 Burley Ave, Hopkinsville, KY 42240-8725 | 2014-09-25 |
| 1891299103 | Shea Goudreau | Physician Assistant | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-21 |
| 1649679457 | Benjamin James Goudreau | Chiropractor | 222 Auburn St Ste 102, Portland, ME 04103-6005 | 2014-08-18 |
| 1538120167 | Frank Scott Goudreau | Orthopaedic Surgery | 25a June St Ste 16, Sanford, ME 04073-2615 | 2006-03-31 |
| 1790067726 | Adam Goudreau | Psychologist · School | 85 Philadelphia Ave, Massapequa Park, NY 11762-2547 | 2011-09-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.