Active NPI
Safe Space Neurobehavioral Clinic LLC
- Behavior Technician
- Saint Paul, MN
National Provider Identifier
1174437156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- SAFE SPACE NEUROBEHAVIORAL CLINIC LLC
- Practice address
- 220 Robert St S Ste 202
Saint Paul, MN 55107-1626 - Phone
- (612) 473-9636
- Fax
- (612) 682-5369
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maricris Prago Goatcher
- Title
- Founder & Managing Director
- Phone
- (612) 473-9636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
220 Robert St S Ste 202
Saint Paul, MN 55107-1626
Mailing address
220 Robert St S Ste 202
Saint Paul, MN 55107-1626
Phone (612) 473-9636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1174437156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ROBERT ST S STE 202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071626",
"telephone_number": "612-473-9636",
"fax_number": "612-682-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ROBERT ST S STE 202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071626",
"telephone_number": "612-473-9636",
"fax_number": "612-682-5369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE SPACE NEUROBEHAVIORAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "GOATCHER",
"authorized_official_first_name": "MARICRIS",
"authorized_official_middle_name": "PRAGO",
"authorized_official_title_or_position": "FOUNDER & MANAGING DIRECTOR",
"authorized_official_telephone_number": "612-473-9636",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.