Lisa Kaye Goolsby, MSW, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2014024480 Issued in MO

Practice address

1810 Craig Rd
Saint Louis, MO 63146-4760

Phone

(314) 414-0226

Fax

(888) 507-4453

NPI assigned

Jan 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1871982132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CRAIG RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464760",
            "telephone_number": "314-414-0226",
            "fax_number": "888-507-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CRAIG RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464760",
            "telephone_number": "314-414-0226",
            "fax_number": "888-507-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "LISA",
        "middle_name": "KAYE",
        "credential": "MSW, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2014024480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dazialee Goodwin, PHD
• Kathleen Marino Goodwin, CNM
• Matthew Lawrence Goodwin, MD
• Natasha Renee Goodwin, CRNA
• Ashley Michelle Gooldy, OTR/L
• David Benjamin Gootenberg, MD, PHD
• Rajalakshmi T Gopalakrishnan, MD
• Parul Gor, M.D.
• David A Goran, MD
• John Gorcsan III, MD

• All providers in Saint Louis, MO
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.