Ricci Alisha Goguen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60928335 Issued in WA

Practice address

318 E Rowan Ave Ste 201
Spokane, WA 99207-1200

Phone

(509) 844-4966

Fax

(509) 319-2338

NPI assigned

Jul 2, 2012

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ricci Alisha Haugen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lilac City Behavioral Services, PLLC

  dba Lilac City Behavioral

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1386195279
  NPD

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1336403682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571750",
            "telephone_number": "508-478-0207",
            "fax_number": "508-634-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E ROWAN AVE STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071200",
            "telephone_number": "509-844-4966",
            "fax_number": "509-319-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "RICCI",
        "middle_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60928335",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICCI",
            "last_name": "HAUGEN",
            "middle_name": "ALISHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Galen W. Goertzen
• Anja Goetzinger
• James S Goff, MD
• Maria Lousie Goff
• Charmaine Channelle Gogo Bolton
• Heidi L Goicochea
• Rodney Goin
• Joslyn Erika Goings, PA-C
• Adrienne L Goldberg, MSW
• Harold R Goldberg, MD, FACC

• Behavior Analyst in Spokane, WA
• Providers in Spokane, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.