NPIMap

Organization Active NPI

Goalline Behavior Services, LLC

  • Behavior Analyst
  • Green Cove Springs, FL
National Provider Identifier
1679302350
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOALLINE BEHAVIOR SERVICES, LLC
Practice address
3230 Callie LN
Green Cove Springs, FL 32043-9591
Phone
(904) 945-6205
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Amber Madison Webb, BCBANPI 1790356897
Title
Owner
Phone
(904) 945-6205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

3230 Callie LN
Green Cove Springs, FL 32043-9591

Mailing address

3230 Callie LN
Green Cove Springs, FL 32043-9591

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1679302350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 CALLIE LN",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 CALLIE LN",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439591",
            "telephone_number": "904-945-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOALLINE BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MADISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-945-6205",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.