Teachabal Moments Behavior Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TEACHABAL MOMENTS BEHAVIOR THERAPY LLC

Practice address

84 W Broadway Ste 200
Derry, NH 03038-2323

Phone

(307) 429-2047

NPI assigned

Aug 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristen Goulet, BCBANPI 1932698867

Title

Bcba

Phone

(307) 429-2047

Specialties & licenses 1

Addresses

Other names 1

• TeachABAl Moments LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Goulet, BCBA

  • Behavior Analyst
  • Derry, NH
  • NPI 1932698867
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1003690850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 INKBERRY RD",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030703733",
            "telephone_number": "307-429-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382323",
            "telephone_number": "307-429-2047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Gould St Ste R",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828016317",
            "country_code": "US",
            "telephone_number": "307-429-2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEACHABAL MOMENTS BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "307-429-2047",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TeachABAl Moments LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Steven Taylor, MD
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• Behavior Analyst in Derry, NH
• Providers in Derry, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.