John Gottfried

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31-653 Issued in MA

Practice address

3303 Sampsonville Rd
Enosburg Falls, VT 05450-5398

Phone

(978) 771-2863

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

Sex

Male

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

Practice roles

Locations

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

• Affable ABA PLLC

  • Community/Behavioral Health Agency
  • Derry, NH
  • NPI 1427810225
  NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1689248957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 SAMPSONVILLE RD",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 SAMPSONVILLE RD",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505398",
            "telephone_number": "978-771-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-18-31-653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre Emile Etienne, MD
• Franklin Northeast Supervisory Union
• Andrew Gagne, PHARMD
• Richard William Gallagher, AGNP
• Krystle Godbout, BCBA
• Deanne Haag, M.D.
• Catherine Hall, NP
• Pamela N Jacobs, APRN
• Kaydeen Anne Juaire, LCMHC
• Katherine Michelle Kasowitz, APRN

• Behavior Analyst in Enosburg Falls, VT
• Providers in Enosburg Falls, VT by specialty
• Behavior Analyst in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.