Mia Rose Goodwin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-76261 Issued in FL

Practice address

12500 W Atlantic Blvd
Coral Springs, FL 33071-4085

Phone

(754) 547-6828

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

No

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1376202267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 SW 159TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714085",
            "telephone_number": "754-547-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2873 Executive Park Dr",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313603",
            "country_code": "US",
            "telephone_number": "754-812-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MIA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-76261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Gonzalez
• Rosa Gonzalez
• Robin Elizabeth Good
• Courtney Frances Goodman, MD
• Roy Goodman, D.C.
• Indulekha N Gopal, M.D.
• Rebecca Kelly Gorchoff, LMHC, RMHCI
• Christine May Gordon, ARNP
• Leslie Michael Gordon, LMFT
• Maria Gordon

• Behavior Analyst in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.