Kristen Goulet, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

84 W Broadway Ste 200
Derry, NH 03038-2323

Phone

(603) 487-6320

NPI assigned

May 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Teachabal Moments Behavior Therapy LLC

  • Behavior Analyst
  • Derry, NH
  • NPI 1003690850
  NPD Authorized official
• Granite State ABA Services

  • Behavior Analyst
  • North Conway, NH
  • NPI 1063964930
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1932698867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030700373",
            "telephone_number": "603-487-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382323",
            "telephone_number": "603-487-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Norcross Circle",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "03860",
            "country_code": "US",
            "telephone_number": "603-356-6616",
            "fax_number": "603-356-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULET",
        "first_name": "KRISTEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-17-28919",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Goldsmith
• Virginia Gonzalez Gilman
• Katherine Gordon
• Denise A Gosselin, RRT
• Kyra Goucher, DPT
• Philip Wayne Grant, MD
• Greater Derry Community Health Services
• Greater Derry Oral Health Collaborative Corporation
• Andrea Michele Gregg, AS
• Lucinda Boyd Gregorio, LICSW

• Behavior Analyst in Derry, NH
• Providers in Derry, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.