ELISE GOETZL (NPI# 1376057638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376057638 |
| Entity Type | Individual |
| Full Name | ELISE GOETZL |
| Practice Address |
1255 Kendall Rd San Luis Obispo CA 93401-8750 |
| Practice Telephone | 8057813535 |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1255 KENDALL RD |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336284124 | Irianna Lembo | Marriage & Family Therapist | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2007-02-20 |
| 1841890852 | Neal T Mohr | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-10-28 |
| 1689272155 | Cody W Mello | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-10-15 |
| 1164045118 | Martha Soledad Reck | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-26 |
| 1043833296 | Alyssa Perez | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-22 |
| 1588287833 | Samantha Brown | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-21 |
| 1063035384 | Marissa Monee Sanchez | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-20 |
| 1841813250 | Madison Debruin | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-19 |
| 1568083871 | Crystal Linn-castro | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-04-28 |
| 1881213809 | Julia Wagithi Muya | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1811497241 | Taylor Marie Patten | Behavioral Analyst | 4251 S Higuera St Ste N, San Luis Obispo, CA 93401-7700 | 2018-02-12 |
| 1366976870 | Kaylee Bunnell | Behavioral Analyst | 889 Murray Ave, San Luis Obispo, CA 93405-1736 | 2017-04-12 |
| 1003361981 | Danielle Nicole Wiemholt | Behavioral Analyst | 4251 S Higuera St Ste 800, San Luis Obispo, CA 93401-7736 | 2016-08-19 |
| 1669006987 | Cassidy Emi Adams | Behavioral Analyst | 889 Murray Ave, San Luis Obispo, CA 93405-1736 | 2020-02-25 |
| 1003324948 | Sarah Pedersen | Behavioral Analyst | 4251 S Higuera St Ste 800, San Luis Obispo, CA 93401 | 2018-01-12 |
| 1053827063 | Vanessa Breann Jeffers | Behavioral Analyst | 4251 S Higuera St Ste 800, San Luis Obispo, CA 93401-7736 | 2017-12-28 |
| 1609388859 | Kristin Cecilia Webb | Behavioral Analyst | 889 Murray Ave, San Luis Obispo, CA 93405-1736 | 2017-10-27 |
| 1578072278 | Kate Sheldon | Behavioral Analyst | 889 Murray Ave, San Luis Obispo, CA 93405-1736 | 2017-09-25 |
| 1134597099 | Benjamin Jacobson | Behavioral Analyst | 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 | 2015-09-09 |
| 1730556820 | John Mendoza | Behavioral Analyst | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2015-08-25 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on ELISE GOETZL.
| 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.