Individual provider Active NPI

Kristen Noelle Goudreau, RBT

  • Behavior Technician
  • Newport News, VA
National Provider Identifier
1376473678
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1144308 Issued in VA
Practice address
11835 Fishing Point Dr Ste 202
Newport News, VA 23606-2585
Phone
(757) 551-2153
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1144308 VA Primary

Addresses

Primary practice location

11835 Fishing Point Dr Ste 202
Newport News, VA 23606-2585

Mailing address

131 Elden St Ste 302
Herndon, VA 20170-4851
Phone (703) 496-4371

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

LicenseStateTypeSpecialty
BACB1144308VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism First, LLC Behavior Technician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1376473678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 302",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704851",
            "telephone_number": "703-496-4371",
            "fax_number": "703-435-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR STE 202",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062585",
            "telephone_number": "757-551-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDREAU",
        "first_name": "KRISTEN",
        "middle_name": "NOELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "BACB1144308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.