Active NPI
Cassandra Anne Godbout
- Behavior Analyst
- Alpharetta, GA
National Provider Identifier
1194209387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645 - Phone
- (678) 648-7644
- NPI assigned
- Sep 24, 2018
- Reactivated
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Mailing address
6505 Shiloh Rd Ste 100
Alpharetta, GA 30005-1645
Other practice location 1
340 Commerce Ave Ste 6
Southern Pines, NC 28387-7115
Phone (910) 688-3646
Other practice location 2
5458 Town Center Rd
Boca Raton, FL 33486-1089
Phone (800) 686-5614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1194209387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 SHILOH RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 SHILOH RD STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051645",
"telephone_number": "678-648-7644"
}
],
"practiceLocations": [
{
"address_1": "340 Commerce Ave Ste 6",
"address_purpose": "LOCATION",
"city": "Southern Pines",
"state": "NC",
"postal_code": "283877115",
"country_code": "US",
"telephone_number": "910-688-3646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5458 Town Center Rd",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334861089",
"country_code": "US",
"telephone_number": "800-686-5614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODBOUT",
"first_name": "CASSANDRA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"deactivation_date": "2019-10-24",
"reactivation_date": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.