Scottlyn Goodman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

13650 NW 8TH St Ste 109
Sunrise, FL 33325-6239

Phone

(888) 747-9240

NPI assigned

Nov 22, 2022

Sex

Female

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

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1366151979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13893 SW 43RD ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333305736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 NW 8TH ST STE 109",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256239",
            "telephone_number": "888-747-9240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 S University Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333285313",
            "country_code": "US",
            "telephone_number": "888-747-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "SCOTTLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surya Gonzalez
• Victor F. Gonzalez, MD
• Good Shepherd Alf LLC
• James R. Goodman, MD
• Mayce Goodman, LCSW
• Steven David Goodman, D.C.
• Sean Michael Goodrum, CRNA
• Miranda Gopaul, 222Q00000X
• Chazeem Davaughn Gordon
• Jeffery S Gordon, MD

• Behavior Technician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Behavior Technician in Florida

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