Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417212390 Individual Practitioner Female Practitioner

Jacqueline Godwin , MS, BCBA

Behavior Analyst • Media, PA

Professional Overview & Biography Verified Profile Summary

Jacqueline Godwin, MS, BCBA is a registered healthcare professional specializing in Behavior Analyst in Media, PA. Practice services are available at 77 W BALTIMORE PIKE STE 100B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 W Baltimore Pike Ste 100b

Media, PA 190635639

Telephone 6105725520
Fax 6105725521
Associated Practice Facility / Clinic
🏢 Beyond Autism Services Llc Facility NPI 1275118077

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Media, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
57 Specialists

Practicing in Media, PA (3800 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License PA 1-10-7630

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Alexandra Eckenrode

Behavior Analyst

NPI 1033992532
Elizabeth Devenney

Behavior Technician

NPI 1114618899
NPI 1134830649

Master of Science, LBS, Registered Behavior Technician

Tanaesza Russell

Behavior Analyst

NPI 1205474723
Kristen Schilder

Behavior Analyst

NPI 1235697889
Jennifer Velez

Behavior Technician

NPI 1275380008

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 12, 2021

Registered at 77 W BALTIMORE PIKE STE 100B, MEDIA, PA 190635639 (Tel: 6105725520)

📍
Updated Business Mailing Address August 12, 2021

Registered at 77 W BALTIMORE PIKE STE 100B, MEDIA, PA 190635639 (Tel: 6105725520)

NPI Profile Active July 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2012

Registered at 4 OLD PENNELL RD, MEDIA, PA 190635937 (Tel: 4844314677)

📍
Updated Business Mailing Address July 07, 2012

Registered at 4 OLD PENNELL RD, MEDIA, PA 190635937 (Tel: 4844314677)

👤
Provider Name / Credentials Updated July 07, 2012

Recorded as JACQUELINE GODWIN, M.S., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2012

Behavior Analyst (License #1-10-7630 in PA)

🟢
Initial NPI Registration & Enumeration July 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacqueline Godwin. Be the first to share your experience!

Sign in to leave a review for Jacqueline Godwin

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417212390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2012
Last Update: August 12, 2021
Sole Proprietor: Yes

Mailing Address

77 W Baltimore Pike Ste 100b

Media, PA 190635639

Phone: 6105725520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.