MRS. TERICA GOLDSMITH (NPI# 1679067763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679067763 |
| Entity Type | Individual |
| Full Name | MRS. TERICA GOLDSMITH |
| Practice Address |
700 Pierre Ave Ste A Shreveport LA 71103-2725 |
| Practice Telephone | 3189188100 |
| Mailing Telephone | 3189188100 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1912447095 | 05 |
| Street Address |
700 PIERRE AVE STE A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760717 | Melvina Harris | Behavior Technician | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2017-06-26 |
| 1932666484 | Andrea Leblanc Reed | Counselor | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2019-02-20 |
| 1558844530 | Cathy Mitchell | Counselor | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2018-09-14 |
| 1093232621 | Darnell Linnear | Community/Behavioral Health | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597782 | Camille Brooke Williams | Behavior Technician | 7607 Fern Avw, 403, Shreveport, LA 71105-5699 | 2020-01-14 |
| 1881163509 | Lavonda Moore | Behavior Technician | 7607 Fern Ave Ste 404405, Shreveport, LA 71105-5739 | 2018-11-26 |
| 1316467798 | Charles L Tilley Jr. | Behavior Technician | 4642 Bethume Dr, Shreveport, LA 71109-6634 | 2017-06-26 |
| 1346760717 | Melvina Harris | Behavior Technician | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2017-06-26 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1396273249 | Kanisha Michelle Cooper | Behavior Technician | 1500 N Market St Ste C104, Shreveport, LA 71107-6545 | 2017-05-23 |
| 1740723345 | Patrice Bennett | Behavior Technician | 3817 Woodrow Ave, Shreveport, LA 71109-4435 | 2016-11-30 |
| 1013450154 | Vonetta Cook | Behavior Technician | 2715 Mackey Pl # Pl135, Shreveport, LA 71118-2544 | 2016-11-21 |
| 1386186625 | Barbara Simpson | Behavior Technician | 4130 Clover St, Shreveport, LA 71109-7220 | 2016-11-16 |
| 1548702749 | Evangela Robertson | Behavior Technician | 1651 E 70th St # 259, Shreveport, LA 71105-5115 | 2016-11-06 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on MRS. TERICA GOLDSMITH.
| 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.