Provider Demographics
NPI:1447653449
Name:GOAS, JESSICA (BCBA)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:GOAS
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:GLUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:28 WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-2633
Mailing Address - Country:US
Mailing Address - Phone:917-685-8798
Mailing Address - Fax:
Practice Address - Street 1:28 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2633
Practice Address - Country:US
Practice Address - Phone:917-685-8798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-03
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst