Organization Active NPI

Silly Goose Pediatric Therapy and Learning Center, PLLC

  • Behavior Analyst
  • League City, TX
National Provider Identifier
1962188227
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SILLY GOOSE PEDIATRIC THERAPY AND LEARNING CENTER, PLLC
Practice address
5111 Orange Blossom CT
League City, TX 77573-3781
Phone
(281) 766-4361
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Authorized official

Name
Katarina Mashelle Little, MA., BCBA, LBA-TXNPI 1437771250
Title
Owner
Phone
(281) 766-4361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

5111 Orange Blossom CT
League City, TX 77573-3781

Mailing address

5111 Orange Blossom CT
League City, TX 77573-3781

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1962188227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ORANGE BLOSSOM CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ORANGE BLOSSOM CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733781",
            "telephone_number": "281-766-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILLY GOOSE PEDIATRIC THERAPY AND LEARNING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "KATARINA",
        "authorized_official_middle_name": "MASHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-766-4361",
        "authorized_official_credential": "MA., BCBA, LBA-TX"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.