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DR. QUSAYY M GODBOLT PH.D BCBA-D NPI 1740504398


NPI Information

NPI: 1740504398
Provider Name: DR. QUSAYY M GODBOLT, PH.D, BCBA-D
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
1207 SNOWBALL LN
CLARKSVILLE, TN
ZIP 37042
Phone: (931) 378-4751
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DR. Qusayy M Godbolt, PH.D, BCBA-D is a behavior analyst in Clarksville, TN. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. DR. Qusayy M Godbolt, PH.D, BCBA-D NPI is 1740504398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1207 SNOWBALL LN
CLARKSVILLE, TN
ZIP 37042-855
Phone: (931) 378-4751

The enumeration date for this NPI number is 3/24/2010 and was last updated on 3/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst1-09-5273KENTUCKYNo
2103K00000XBehavior Analyst1-09-5273TENNESSEENo
3103K00000XBehavior Analyst1-09-5273MISSOURINo
4103K00000XBehavior Analyst1-09-5273FLORIDANo
5103K00000XBehavior Analyst1-09-5273Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q024708MEDICAIDTENNESSEE
27100405480MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.