Troy Daniel Goudge

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT3462 Issued in NV

Practice address

5980 S Durango Dr Ste 131
Las Vegas, NV 89113-1775

Phone

(866) 505-1376

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1346024411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 S DURANGO DR STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131775",
            "telephone_number": "866-505-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S DURANGO DR STE 131",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131775",
            "telephone_number": "866-505-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDGE",
        "first_name": "TROY",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT3462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariyah Gothe, CNA
• Amber Goto, PHD
• Krista Goto, PHARMD
• Danilo Gotovac
• Ann Marie Gottlieb, OTR
• Annaka Rachel Catherine Gouge-Smith, MA
• Barry Gould, M.D.
• Donna J Gould, RD
• Lieba Gould
• Natalie S Gould, MD

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.