QUSAYY M. GODBOLT (NPI# 1497303960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497303960 |
| Entity Type | Organization |
| Organization Name | QUSAYY M. GODBOLT |
| Practice Address |
1207 Snowball Ln Clarksville TN 37042-7855 |
| Practice Telephone | 9313784751 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | AMANDA WALKER (ADMINISTRATOR) |
| Authorized Official Telephone | 8179380823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Godbolt Behavioral Consulting | Doing Business As Name - Organization |
| Street Address |
1207 SNOWBALL LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-7855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral 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 |
|---|---|---|---|---|
| 1871105353 | Haley Armacost | Behavioral Analyst | 13850 Wayside Dr, Clarksville, MD 21029-1305 | 2020-08-17 |
| 1053896811 | Chelsea E Carter | Behavioral Analyst | 2284 Raleigh Ct # A, Clarksville, TN 37043-1945 | 2018-09-27 |
| 1396255402 | Layarada Rawlins | Behavioral Analyst | 2277 Wilma Rudolph Blvd Ste C, Clarksville, TN 37040-6161 | 2017-10-03 |
| 1366969982 | Amanda Elliott | Behavioral Analyst | 1008 Ishee Dr, Clarksville, TN 37042-6672 | 2017-08-24 |
| 1659809978 | Rachel Allison Olive | Behavioral Analyst | 2116 Richview Pl, Clarksville, TN 37043 | 2017-05-31 |
| 1841749728 | Brittany Farmer | Behavioral Analyst | 941 Professional Park Drive, Clarksville, TN 37043 | 2016-10-03 |
| 1497112775 | Sara Hibpshman | Behavioral Analyst | 139 E Old Trenton Rd Ste B, Clarksville, TN 37043-5845 | 2016-01-18 |
| 1396128773 | Kelly Michelle Tait | Behavioral Analyst | 1253 Judge Tyler Dr, Clarksville, TN 37043-1423 | 2015-07-03 |
| 1174905194 | Megaera Rye | Behavioral Analyst | 1401 Buchanon Dr, Clarksville, TN 37042-3347 | 2015-06-25 |
| 1700215209 | Autism Therapy and Training, Pllc | Behavioral Analyst | 355 Kimbrough Rd, Clarksville, TN 37043-4615 | 2013-11-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on QUSAYY M. GODBOLT.
| 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.