Andre M Goode, QBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3430 E Flamingo Rd Ste 220
Las Vegas, NV 89121-5065

Phone

(702) 202-2040

Fax

(702) 202-6551

NPI assigned

Nov 21, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Assertive Living

  • Mental Illness Community Based Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1073750626
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1689941569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E FLAMINGO RD # 577",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195263",
            "telephone_number": "702-202-2040",
            "fax_number": "702-202-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215065",
            "telephone_number": "702-202-2040",
            "fax_number": "702-202-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "ANDRE",
        "middle_name": "M",
        "credential": "QBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073750626",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentia Good-Christman
• Holly Good
• John Henry Good
• Bowe Goodall
• Adrianne Goode
• Julie Elizabeth Goodell, D.O.
• Gooden Foundation Inc.
• Tanisha O Gooden
• Anastasia Goodenough
• Latanya Goodgame

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.