Individual provider Active NPI

Riley Goguen

  • Behavior Technician
  • Milton, MA
National Provider Identifier
1093667768
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2 Granite Ave Ste 260
Milton, MA 02186-4381
Phone
(617) 812-9454
NPI assigned
Feb 13, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2 Granite Ave Ste 260
Milton, MA 02186-4381

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (949) 357-2556

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

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1093667768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PACIFIC COAST HWY STE 1400",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455602",
            "telephone_number": "949-357-2556",
            "fax_number": "949-357-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRANITE AVE STE 260",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864381",
            "telephone_number": "617-812-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.