Active NPI
Liza Wakley
- Behavior Technician
- Goshen, IN
National Provider Identifier
1770412504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 511 W Lincoln Ave
Goshen, IN 46526-2430 - Phone
- (574) 387-4313
- NPI assigned
- May 18, 2026
- Last updated
- May 18, 2026
- 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 Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
511 W Lincoln Ave
Goshen, IN 46526-2430
Mailing address
1827 E Ireland Rd
South Bend, IN 46614-2845
Phone (765) 628-7400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1770412504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 E IRELAND RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466142845",
"telephone_number": "765-628-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W LINCOLN AVE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465262430",
"telephone_number": "574-387-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKLEY",
"first_name": "LIZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
- Urs W Von Holzen, MD
- Wade Psychological Services Inc.
- Ginger Renee Wade, APRN
- Stefanie G Wade, PSYD
- Karl Thomas Wagner Jr., MD
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1378)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1566)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-1566)
- Wal-Mart Stores East, LP (Vision Center 30-1378)
- Walgreen Co
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.