Individual provider Active NPI

Perla Edith Goldstein, BCBA/LBS

  • Behavior Analyst
  • Scranton, PA
National Provider Identifier
1649783408
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH003414 Issued in PA
Practice address
2000 Ash St
Scranton, PA 18510-1546
Phone
(570) 871-4751
NPI assigned
Nov 14, 2017
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 001602 NY
Behavior Analyst 103K00000X BH003414 PA Primary

Addresses

Primary practice location

2000 Ash St
Scranton, PA 18510-1546

Mailing address

722 Clay Ave
Scranton, PA 18510-1728
Phone (914) 837-2813

Other practice location 1

722 Clay Ave
Scranton, PA 18510-1728
Phone (914) 837-2813

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

LicenseStateTypeSpecialty
001602NYMDMental Health Counselor
BH003414PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Prime ABA Consultants, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

2000 Ash St
Scranton, PA 18510
Phone (570) 829-9407

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1649783408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 CLAY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101728",
            "telephone_number": "914-837-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ASH ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101546",
            "telephone_number": "570-871-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Clay Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185101728",
            "country_code": "US",
            "telephone_number": "914-837-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "PERLA",
        "middle_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "BCBA/LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001602",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.