Holli Elizabeth Perrin, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

203 N 5TH St
Goshen, IN 46528

Phone

(267) 980-9785

NPI assigned

Feb 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Goshen City Behavioral Health LLC

  • Behavior Analyst
  • Goshen, IN
  • NPI 1134782626
  NPD Authorized official

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1508257619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66208 GRASSLANDS LN",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465267323",
            "telephone_number": "267-980-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N 5TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "46528",
            "telephone_number": "267-980-9785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17390 Dugdale Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351512",
            "country_code": "US",
            "telephone_number": "574-400-2169",
            "fax_number": "765-450-6664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "HOLLI",
        "middle_name": "ELIZABETH",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-15-19283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma Pelfrey, MSW
• Cecelia Pendell
• Carrie Pennington, MA
• Kenneth L Pennington, M.D.
• Bethany Perrin, DO
• Kenneth D Petersen, M.D.
• Ivy Petra, LCSW, LCAC
• Frank Louis Piaskowy, D.O.
• Richard E Pipher, LCSW
• Gianna L Pociask, DPT

• Behavior Analyst in Goshen, IN
• Providers in Goshen, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.