NPIMap

Individual provider Active NPI

Amber Lynn Goforth, M.A., BCBA

  • Behavior Analyst
  • Richmond, TX
National Provider Identifier
1912486879
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3238 Issued in TX
Practice address
1803 Richmond Pkwy Ste 600
Richmond, TX 77469-3641
Phone
(346) 241-0137
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 LA
Behavior Analyst 103K00000X 3238 TX Primary

Addresses

Primary practice location

1803 Richmond Pkwy Ste 600
Richmond, TX 77469-3641

Mailing address

14723 W Oaks Plaza Dr Apt 1221
Houston, TX 77082-3991
Phone (337) 212-5966

Other practice location 1

10110 W Sam Houston Pkwy Ste 110
Houston, TX 77099-5153
Phone (888) 754-0398

Other practice location 2

2522 E 70th St
Shreveport, LA 71105
Phone (318) 795-3388

Other practice location 3

9150 Bereford Dr
Baton Rouge, LA 70809-2403
Phone (225) 960-7689 ext. 205

Other practice location 4

6807 Emmett F Lowry Expy # 105
Texas City, TX 77591-2546
Phone (409) 229-4280

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3238TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Success on the Spectrum Past Accepting new patients
Initech Enterprise International LLC Behavior Analyst PastSince Nov 21, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1912486879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14723 W OAKS PLAZA DR APT 1221",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823991",
            "telephone_number": "337-212-5966",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 RICHMOND PKWY STE 600",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693641",
            "telephone_number": "346-241-0137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10110 W Sam Houston Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770995153",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2522 E 70th St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71105",
            "country_code": "US",
            "telephone_number": "318-795-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Bereford Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708092403",
            "country_code": "US",
            "telephone_number": "225-960-7689 x205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6807 Emmett F Lowry Expy # 105",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912546",
            "country_code": "US",
            "telephone_number": "409-229-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2023-01-17",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.