Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kissel Goldman

Individual provider Behavior Technician · NPI 1144877895

Kissel Goldman is a Behavior Technician in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

8777 San Jose Blvd Ste 801
Jacksonville, FL 32217-4291
Phone: (904) 374-6403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 — (352) 332-8588

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-47979 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1144877895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address8777 San Jose Blvd Ste 801, Jacksonville, FL 32217-4291

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