IndividualActive
Jacqueline Godwin, M.S., BCBA
NPI 1417212390 · Behavior Analyst · Media, PA
Jacqueline Godwin, M.S., BCBA is a Behavior Analyst provider in Media, PA (NPI 1417212390).
Provider details
- NPI number
- 1417212390
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- M.S., BCBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-10-7630 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
77 W Baltimore Pike Ste 100b
Media, PA 19063-5639
Phone: (610) 572-5520
Fax: (610) 572-5521
Street-level locationGet directions
Mailing address
77 W Baltimore Pike Ste 100b
Media, PA 19063-5639
Registry dates
- Enumerated
- 2012-07-07
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Jacqueline Godwin's NPI number?
- Jacqueline Godwin's National Provider Identifier (NPI) is 1417212390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Godwin's specialty?
- Jacqueline Godwin is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jacqueline Godwin located?
- Jacqueline Godwin's practice location on file with NPPES is 77 W Baltimore Pike Ste 100b, Media, PA 19063-5639.
- What is Jacqueline Godwin's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Godwin is (610) 572-5520.
- Is Jacqueline Godwin's NPI active?
- Yes — Jacqueline Godwin's NPI (1417212390) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.