Active NPI
Rachael Stark, BCBA
- Behavior Analyst
- Goshen, IN
National Provider Identifier
1962178335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-51045
- Practice address
- 2014 Lincolnway E
Goshen, IN 46526-6818 - Phone
- (239) 920-3948
- NPI assigned
- Aug 17, 2021
- 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 Analyst | 103K00000X | 1-21-51045 | IN | Primary |
Addresses
Primary practice location
2014 Lincolnway E
Goshen, IN 46526-6818
Mailing address
2014 Lincolnway E
Goshen, IN 46526-6818
Phone (239) 920-3948
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": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1962178335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 LINCOLNWAY E",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266818",
"telephone_number": "239-920-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 LINCOLNWAY E",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266818",
"telephone_number": "239-920-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "RACHAEL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-21-51045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.