Adrian Goad, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45024 Issued in IL

Practice address

975 W Hawthorn Dr
Itasca, IL 60143-2056

Phone

(800) 844-1232

Fax

(800) 844-1232

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chicago Autism & Behavior Specialists

  • Behavior Analyst
  • Itasca, IL
  • NPI 1982077194
  NPD (past)
• Chicago Autism and Behavior Specialists

  • Behavior Analyst
  • Itasca, IL
  • NPI 1295021269
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1821563271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W HAWTHORN DR",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432056",
            "telephone_number": "800-844-1232",
            "fax_number": "800-844-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W HAWTHORN DR",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432056",
            "telephone_number": "800-844-1232",
            "fax_number": "800-844-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Hawthorn Drive",
            "address_purpose": "LOCATION",
            "city": "Itasca",
            "state": "ID",
            "postal_code": "60143",
            "country_code": "US",
            "telephone_number": "800-844-1232",
            "fax_number": "800-844-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOAD",
        "first_name": "ADRIAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "0-19-9749",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-16-11731",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-20-45024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yatzel Marie Fuentes Rosa, MD, MBA
• Mario Garnello
• Thomas G. George, D.C.
• Gift of Hope Organ & Tissue Donor Network
• Mark Christopher Gillis, MD
• Kirstin Godinez, PT, DPT
• Alexis Gomez
• Angela Gomez
• August Esai Gomez
• Katelyn B Gomez

• All providers in Itasca, IL
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.