Active NPI
Rachel Tova Goldberg, BCBA, LBA
- Behavior Analyst
- Owings Mills, MD
National Provider Identifier
1639697964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11726665
- Practice address
- 11907 Hunting Tweed Dr.
Owings Mills, MD 21117 - Phone
- (857) 231-6728
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 11726665 | MD | Primary |
Addresses
Primary practice location
11907 Hunting Tweed Dr.
Owings Mills, MD 21117
Mailing address
11907 Hunting Tweed Dr
Owings Mills, MD 21117-1528
Phone (857) 231-6728
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 |
|---|---|---|---|
| 11726665 | MD | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639697964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11907 HUNTING TWEED DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171528",
"telephone_number": "857-231-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11907 HUNTING TWEED DR.",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "857-231-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "RACHEL",
"middle_name": "TOVA",
"name_prefix": "Mrs.",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "11726665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.