Madison Goodman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB687611 Issued in FL

Practice address

350 E Bloomingdale Ave
Brandon, FL 33511-8155

Phone

(813) 655-8159

NPI assigned

May 5, 2023

Last updated

May 5, 2023By the provider in NPPES

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

• Madison Tsalonis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1932898848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 CRINKLE LEAF CT",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705731",
            "telephone_number": "330-978-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118155",
            "telephone_number": "813-655-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB687611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "TSALONIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Good Life at Home Care, LLC
• Good Shepherd Alf
• Good Shepherd Assisted Living Facility of Brandon LLC
• Tamisha Good, RN
• Mohammad Goodarzi, DMD
• Ryan Goodrich, MOT, RBT
• Cassi Goodson
• Yamini Gopani, DDS, MS
• Roma Gopico
• Swathi Gopishetty, MD

• Behavior Technician in Brandon, FL
• Providers in Brandon, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.