Active NPI
Amy Goerl, BCBA
- Behavior Analyst
- Highlands, NJ
National Provider Identifier
1013460799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-10372
- Practice address
- I-13 Twin Lights Court
Highlands, NJ 07732 - Phone
- (732) 284-7855
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-10372 | NJ | Primary |
| Speech-Language Pathologist | 235Z00000X | 41YS00134100 | NJ |
Addresses
Primary practice location
I-13 Twin Lights Court
Highlands, NJ 07732
Mailing address
I-13 Twin Lights Court
Highlands, NJ 07732
Phone (732) 284-7855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00134100 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1013460799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "I-13 TWIN LIGHTS COURT",
"city": "HIGHLANDS",
"state": "NJ",
"postal_code": "07732",
"telephone_number": "732-284-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "I-13 TWIN LIGHTS COURT",
"city": "HIGHLANDS",
"state": "NJ",
"postal_code": "07732",
"telephone_number": "732-284-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERL",
"first_name": "AMY",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-12-10372",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00134100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.