Active NPI
Tara Jo Goheen, RBT
- Behavior Technician
- Palm City, FL
National Provider Identifier
1013731850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-391471
- Practice address
- 3585 SW Corporate Pkwy
Palm City, FL 34990-8154 - Phone
- (772) 222-5560
- Fax
- (844) 652-8088
- NPI assigned
- Nov 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-391471 | FL | Primary |
Addresses
Primary practice location
3585 SW Corporate Pkwy
Palm City, FL 34990-8154
Mailing address
1982 SE Burgundy LN
Port St Lucie, FL 34952-8866
Phone (417) 392-0800
Other names 1
- Tara Jo Wheeler
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 |
|---|---|---|---|
| RBT-24-391471 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast ABA Services | Behavior Technician | Current | Accepting new patients |
| Treasure Coast ABA Services | Past | Accepting new patients |
Locations
4203 SW High Meadows Ave
Palm City, FL 34990
Phone (772) 222-5560
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Technician
- Palm City, FL
- NPI 1316669732
-
- Behavior Analyst
- Palm City, FL
- NPI 1194252163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1013731850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1982 SE BURGUNDY LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349528866",
"telephone_number": "417-392-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3585 SW CORPORATE PKWY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908154",
"telephone_number": "772-222-5560",
"fax_number": "844-652-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOHEEN",
"first_name": "TARA",
"middle_name": "JO",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-391471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "WHEELER",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.