Shashana Gooding

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2602376 Issued in NY

Practice address

11821 Queens Blvd Ste 612
Forest Hills, NY 11375-7206

Phone

(929) 372-7188

NPI assigned

Jan 30, 2024

Last updated

Feb 6, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• M & R Kids LLC

  • Early Intervention Provider Agency
  • Forest Hills, NY
  • NPI 1326409939

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1942063326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HARRIMAN AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505631",
            "telephone_number": "917-915-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 612",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757206",
            "telephone_number": "929-372-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "SHASHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "2602376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gonzalez
• Rosa Gonzalez, PA
• Tiffanie Gonzalez, M.S.
• Veronica Gonzalez
• Ronnie Stephanie Goodfriend, EDD
• Tamara Goodman, M.D.
• Carole Goodsmith, L.C.S.W.
• Jessica Goodwin, MHC
• Heather E Gordon, LMHC
• Luba Gorsky

• Behavior Analyst in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.