GOSHEN CITY BEHAVIORAL HEALTH LLC (NPI# 1134782626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134782626 |
| Entity Type | Organization |
| Organization Name | GOSHEN CITY BEHAVIORAL HEALTH LLC |
| Practice Address |
203 N 5th St Goshen IN 46528-3226 |
| Mailing Address |
66208 Grasslands Ln Goshen IN 46526-7323 |
| Practice Telephone | 2679809785 |
| Mailing Telephone | 2679809785 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-08-03 |
| Authorized Official Name | HOLLI ELIZABETH PERRIN (PRESIDENT) |
| Authorized Official Telephone | 2679808785 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300027991 | 05 |
| Street Address |
203 N 5TH ST |
| City | GOSHEN |
| State | IN |
| Zip Code | 46528-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508355751 | Taylor Daniel | Behavior Technician | 203 N 5th St, Goshen, IN 46528-3226 | 2018-05-03 |
| 1508257619 | Holli Elizabeth Perrin | Behavioral Analyst | 203 N 5th St, Goshen, IN 46528 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981140 | Brett Dyer | Nurse Anesthetist, Certified Registered | 20208 Deer Path Ct., Goshen, IN 46528 | 2015-05-08 |
| 1831490275 | Renee Danielle Gilligan | Physical Therapy Assistant | 57078 Appaloosa Court, Goshen, IN 46528 | 2010-11-16 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1336196591 | Carolin K. Marzouk | Nurse Practitioner | 213 Middlebury Street, Goshen, IN 46528 | 2006-05-31 |
| 1235185513 | Open and Wide Mri LLC | Radiology | 2856 Eisenhower Dr N., Suite 1, Goshen, IN 46528 | 2006-05-26 |
| 1407341233 | Leah Kathryn Richardson | Registered Nurse | 213 Middlebury St, Goshen, IN 46528 | 2018-06-25 |
| 1619324126 | Rebecca E Johnson | Registered Nurse | 808 N 3rd St, Goshen, IN 46528 | 2016-05-16 |
| 1861850695 | Gerardo Diaz | Nurse Practitioner | 808 N 3rd St, Goshen, IN 46528 | 2016-02-08 |
| Find all providers in zip 46528 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568964351 | Meghan E Arfsten | Behavioral Analyst | 8 Howard Ct, Goshen, NY 10924-6778 | 2018-03-07 |
| 1962858407 | Sharon Barrett | Behavioral Analyst | 79 Hyde Hill Road, Goshen, MA 01032 | 2016-05-13 |
| 1558758433 | Andrea Baker | Behavioral Analyst | 60 Erie St, Number 6, Goshen, NY 10924-1531 | 2015-04-19 |
| 1871991182 | Allison Orourke | Behavioral Analyst | 60 Erie St Ste 6, Goshen, NY 10924-1547 | 2014-12-18 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1164837340 | Sherry R Forzley | Behavioral Analyst | 912 Middlebury St, Goshen, IN 46528-2739 | 2014-06-25 |
| 1598003998 | Adrienne M Maviglia | Behavioral Analyst | 60 Erie St Ste 304, #6, Goshen, NY 10924-1531 | 2013-01-21 |
| 1851603096 | Hudson Valley Young Achievers LLC | Behavioral Analyst | 7 Colt Ct, Goshen, NY 10924-1201 | 2010-07-03 |
| 1568854313 | Rachel Fontana | Behavioral Analyst | 60 Erie St Ste 6, Goshen, NY 10924-1547 | 2015-03-02 |
| 1508257619 | Holli Elizabeth Perrin | Behavioral Analyst | 203 N 5th St, Goshen, IN 46528 | 2015-02-11 |
| Find all providers in GOSHEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.