AMBER LYNN GOFORTH (NPI# 1912486879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912486879 |
| Entity Type | Individual |
| Full Name | AMBER LYNN GOFORTH |
| Credential | M.A., BCBA |
| Practice Address |
2522 E 70th St Shreveport LA 71105 |
| Mailing Address |
9000 W Wilderness Way Apt 136 Shreveport LA 71106-6842 |
| Practice Telephone | 3187953388 |
| Mailing Telephone | 3372125966 |
| Mailing Fax Number | 0000000000 |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1003 Hugh Wallis Rd S, Lafayette, LA 705082528 | 3372054444 | 0000000000 |
| 9150 Bereford Dr, Baton Rouge, LA 708092403 | 2259607689 |
| Street Address |
2522 E 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891015855 | Lacey J Mcbride | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2010-06-01 |
| 1013524875 | Elizabeth Mae Fargerson | Assistant Behavior Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-09-25 |
| 1033727565 | Olivia Felsher-smith | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1760090245 | Doughty Mccall Cowart | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1639787153 | Kristyn Alyse Peacock | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-07-21 |
| 1003430471 | Ashley King | Behavioral Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-06-02 |
| 1922635416 | Erika Loren Tejada | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-03-24 |
| 1760018477 | Mary Katherine Walker | Speech-Language Pathologist | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-03-14 |
| 1801434428 | Savanna Taelor Witthoeft | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-12-13 |
| 1164068615 | Megan Theriot | Behavior Technician | 2522 E 70th St, Shreveport, LA 71105-4002 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1053945733 | Quality Youth Services LLC | Behavioral Analyst | 2715 Mackey Pl Ste 130, Shreveport, LA 71118-2528 | 2020-03-02 |
| 1821652041 | Latisha Nicole Abrams Bracey | Behavioral Analyst | 2028 N Kirkwood Dr, Shreveport, LA 71118-4715 | 2019-04-23 |
| 1497268833 | Jennifer Schultz Boyter | Behavioral Analyst | 842 Elmwood St, Shreveport, LA 71104-4802 | 2017-11-07 |
| 1407304843 | Natoria Womack | Behavioral Analyst | 2715 Mackey Pl Ste., Shreveport, LA 71118 | 2016-09-14 |
| 1104299890 | Gladys Johnson | Behavioral Analyst | 351 West 79th Street, Shreveport, LA 71106 | 2015-11-04 |
| 1801289020 | Behavioral Specialists of La | Behavioral Analyst | 925 Olive St, Shreveport, LA 71104-2103 | 2015-03-12 |
| 1467883264 | Diane Mayes | Behavioral Analyst | 644 Ashley River Rd, Shreveport, LA 71115-3830 | 2013-12-03 |
| 1003430471 | Ashley King | Behavioral Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-06-02 |
| 1407470941 | Bethany Marie Hamilton | Behavioral Analyst | 650 Olive St, Shreveport, LA 71104-2210 | 2020-06-01 |
| 1720612344 | Kelly L Rouse | Behavioral Analyst | 7607 Fern Ave, Suite 403, Shreveport, LA 71105-5699 | 2020-02-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.