Active NPI
Sara Jane Godina, M.ED BCBA
- Behavior Analyst
- Palmdale, CA
National Provider Identifier
1245846864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB349989
- Practice address
- 1007 W Avenue M14
Palmdale, CA 93551-1443 - Phone
- (661) 947-9554
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 | BACB349989 | CA | Primary |
Addresses
Primary practice location
1007 W Avenue M14
Palmdale, CA 93551-1443
Mailing address
28245 Avenue Crocker Ste 220
Valencia, CA 91355-1201
Phone (661) 254-7086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB349989 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1245846864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28245 AVENUE CROCKER STE 220",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551201",
"telephone_number": "661-254-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W AVENUE M14",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511443",
"telephone_number": "661-947-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODINA",
"first_name": "SARA JANE",
"credential": "M.ED BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BACB349989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.