Alan J Goldberg, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33470

Practice address

1001 S Naperville Rd
Wheaton, IL 60189-6413

Phone

(630) 926-4468

NPI assigned

Mar 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Operation Empower Inc

  • Behavior Analyst
  • Wheaton, IL
  • NPI 1649832015
  NPD

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1083173439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896413",
            "telephone_number": "630-926-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896413",
            "telephone_number": "630-926-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Godinez, MA
• Emma Jayne Goebel
• Mary Goebel
• Kristen Goerth
• Mary Gogots
• Crystal Gayle Goldberg
• Sophia R Goldberg
• Jenny Golden
• Laurence A Golden, DDS MSD
• Kelly M Goldstein

• Behavior Analyst in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.