Ryan Joseph Goff

Individual provider Active NPI Behavior Technician · Evergreen, CO

NPI 1992371033 · NPPES record last updated May 30, 2021

Key facts

NPI
1992371033
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3155 Snow Trillium Way
Evergreen, CO 80439-9204
Phone
(949) 842-8055
NPI assigned
May 30, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Dimensions Behavioral Health, LLC Past
since Jun 6, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3155 Snow Trillium Way
Evergreen, CO 80439-9204

Mailing address

5909 Newcombe CT
Arvada, CO 80004-4722
Phone (720) 448-4089

Other practice location 1

5909 Newcombe Ct
Arvada, CO 80004-4722
Phone (720) 448-4089

Other providers in Evergreen, CO

All providers in Evergreen, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.