Behavior Analyst

Address: 3001 N 3rd St, Phoenix, AZ 85012-3060

COLE GOUDREAU (NPI# 1467040121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467040121
Entity Type Individual
Gender Male
Credential BCBA
Practice Address 3001 N 3rd St
AZ 85012-3060
Practice Telephone 4803698282
Mailing Address 300 N 18th St
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

Office Location

Street Address 3001 N 3RD ST
State AZ
Zip Code 85012-3060

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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
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Analyst

Taxonomy Definition

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, and Behavior Analyst Certification Board ( [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

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
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Zip Code 85012

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Dataset Information

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.