Active NPIIndividual provider

Supriya Goddela

Assistant Behavior Analyst in Red Bank, New Jersey

NPI Number1407771900
Practice location
125 Half Mile RD Ste 200, Red Bank, NJ 07701-6749
Fax
—
Last updated
August 12, 2026

Supriya Goddela is an Assistant Behavior Analyst based in Red Bank, NJ. Supriya Goddela practices in Red Bank, NJ. The NPI Number for Supriya Goddela is 1407771900. The current practice location address for Supriya Goddela is 125 Half Mile RD Ste 200, Red Bank, NJ 07701-6749 and can be reached out via phone at 855-832-6727.

Provider Profile Details

NPI Number
1407771900
Provider Name
Supriya Goddela
Provider Entity Type
Individual
Gender
Female
Address
125 Half Mile RD Ste 200, Red Bank, NJ 07701-6749
Phone Number
855-832-6727
Primary Taxonomy
Assistant Behavior Analyst · 106E00000X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2026
Last Update Date
August 12, 2026
Certification Date
August 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Half Mile RD Ste 200
Red Bank, NJ 07701-6749
Zip
07701-6749
Phone Number
855-832-6727
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
7108 S Kanner Hwy
Stuart, FL 34997-7462
City
Stuart
State
FL
Zip
34997-7462
Phone Number
855-832-6727

License Information

Taxonomy
Assistant Behavior Analyst · 106E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Supriya Goddela?

The NPI number of Supriya Goddela is 1407771900. It was assigned on August 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Supriya Goddela?

Supriya Goddela is registered under the primary taxonomy Assistant Behavior Analyst (code 106E00000X).

Where does Supriya Goddela practice?

The practice location is 125 Half Mile RD Ste 200, Red Bank, NJ 07701-6749. The office can be reached at 855-832-6727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407771900 directly on the NPPES registry website.

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