Individual provider Active NPI

Jaime Marie Goyco, BCBA, LBA

  • Behavior Analyst
  • Titusville, NJ
National Provider Identifier
1538412366
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5119 Issued in NY
Practice address
4 River Knoll Dr
Titusville, NJ 08560-1301
Phone
(646) 238-9623
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-09-5119 NY Primary

Addresses

Primary practice location

4 River Knoll Dr
Titusville, NJ 08560-1301

Mailing address

4 River Knoll Dr
Titusville, NJ 08560-1301
Phone (646) 238-9623

Other practice location 1

509 E 78th St
Apt 3E
New York, NY 10075-1154
Phone (646) 238-9623

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

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1538412366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIVER KNOLL DR",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601301",
            "telephone_number": "646-238-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIVER KNOLL DR",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601301",
            "telephone_number": "646-238-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 E 78th St",
            "address_2": "Apt 3E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751154",
            "country_code": "US",
            "telephone_number": "646-238-9623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYCO",
        "first_name": "JAIME",
        "middle_name": "MARIE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-09-5119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.