Individual provider Active NPI

Leanna Goodrum

  • Behavior Analyst
  • Dublin, OH
National Provider Identifier
1427577477
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4015 W Dublin Granville Rd
Dublin, OH 43017-1436
Phone
(253) 459-9462
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4015 W Dublin Granville Rd
Dublin, OH 43017-1436

Mailing address

5236 Willow Heights Dr
Urbana, OH 43078-9400
Phone (253) 459-9462

Other practice location 1

314 Philadelphia Ave
Takoma Park, MD 20912
Phone (240) 292-1719

Other practice location 2

314 Philadelphia Ave
Takoma Park, MD 20912-4210
Phone (240) 292-1719

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Language and Behavior Center LLC PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1427577477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 WILLOW HEIGHTS DR",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789400",
            "telephone_number": "253-459-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 W DUBLIN GRANVILLE RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171436",
            "telephone_number": "253-459-9462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "20912",
            "country_code": "US",
            "telephone_number": "240-292-1719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209124210",
            "country_code": "US",
            "telephone_number": "240-292-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRUM",
        "first_name": "LEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.