Charmicielle Venters Goodine, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA1606 Issued in MD

Practice address

308 Lourdes Dr
Ft Washington, MD 20744-5130

Phone

(301) 675-0883

NPI assigned

May 28, 2024

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

Other names 1

• Charmicielle Venters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gentle Journey

  • Behavior Analyst
  • Fort Washington, MD
  • NPI 1972327732
  NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1669212619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LOURDES DR",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445130",
            "telephone_number": "301-675-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 LOURDES DR",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445130",
            "telephone_number": "301-675-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODINE",
        "first_name": "CHARMICIELLE",
        "middle_name": "VENTERS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMICIELLE",
            "last_name": "VENTERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zufan Gidey
• Kristen Gilmour, DC
• Rachel Gizaw
• Jasmine Gladney
• Elena Golden-Cook
• Matthew Joseph Gordon, NP-BC
• Grace Compassionate Health Care
• Michael A Granovsky, MD
• Latoya Devonn Graves
• Ketia Gray

• Behavior Analyst in Ft Washington, MD
• Providers in Ft Washington, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.