Brooklynne Goldsmith, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

21178402 Issued in MO

Practice address

9374 Olive Blvd Ste 101
Olivette, MO 63132-3253

Phone

(314) 932-2402

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2022.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1316615412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD STE 101",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD STE 101",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323253",
            "telephone_number": "314-932-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "BROOKLYNNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "21178402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Chandler Gibbons, LCSW
• Mariah Marie Gibson
• Rachel Glass, LPC
• Israa Golam, D.D.S
• Rebecca S. M. Goldman, M.A. CCC-SLP
• Brendan Gross, DPT
• David James Hagerty, DPT
• David Alan Hall, PHARM.D.
• Maisaa Hamed
• Hanger Prosthetics & Orthotics East, Inc.

• All providers in Olivette, MO
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.