Provider Demographics
NPI:1073228250
Name:GUIDED BY GOATS INC.
Entity Type:Organization
Organization Name:GUIDED BY GOATS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA- EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:203-558-1148
Mailing Address - Street 1:917 BETHANY MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3559
Mailing Address - Country:US
Mailing Address - Phone:203-558-1148
Mailing Address - Fax:
Practice Address - Street 1:917 BETHANY MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3559
Practice Address - Country:US
Practice Address - Phone:203-558-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty