Active NPI
Alissa Goertz
- Behavior Technician
- Butler, MO
National Provider Identifier
1376495309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1376495309
- Practice address
- 408 N Delaware St
Butler, MO 64730-1508 - Phone
- (855) 832-6727
- NPI assigned
- Feb 11, 2026
- 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 | 1376495309 | MO | Primary |
Addresses
Primary practice location
408 N Delaware St
Butler, MO 64730-1508
Mailing address
408 N Delaware St
Butler, MO 64730-1508
Phone (855) 832-6727
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 |
|---|---|---|---|
| 1376495309 | MO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1376495309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N DELAWARE ST",
"city": "BUTLER",
"state": "MO",
"postal_code": "647301508",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N DELAWARE ST",
"city": "BUTLER",
"state": "MO",
"postal_code": "647301508",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERTZ",
"first_name": "ALISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-11",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "MO",
"license": "1376495309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.