Rebecca Leupo Goodwin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66643

Practice address

345 Greenwood St Ste a
Worcester, MA 01607-1753

Phone

(508) 363-0200

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebeca Lynn Leupo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1114698677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GREENWOOD ST STE A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071753",
            "telephone_number": "508-363-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 GREENWOOD ST STE A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071753",
            "telephone_number": "508-363-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Wellman St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018515161",
            "country_code": "US",
            "telephone_number": "978-274-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "REBECCA",
        "middle_name": "LEUPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-23-66643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECA",
            "last_name": "LEUPO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meagan Elizabeth Goodier, NP
• David James Goodrich II
• Stefanie A Goodrich, PA
• Stephanie Goodrum, MSW
• Lindsay K Goodwin
• Lavanya Gopinath
• Rachel Mary Gora, NP
• Bruce Goral
• Ashleigh Gordon
• Beth A Gordon, LICSW

• Behavior Analyst in Worcester, MA
• Providers in Worcester, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.