Provider Demographics
NPI:1346870110
Name:GOINS, KARLI SARA-GREEN (BCBA)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:SARA-GREEN
Last Name:GOINS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:SARA
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:709 LONGHORN DR
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-5607
Mailing Address - Country:US
Mailing Address - Phone:864-706-3136
Mailing Address - Fax:
Practice Address - Street 1:440 ROPER MOUNTAIN RD STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4235
Practice Address - Country:US
Practice Address - Phone:865-706-3136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0-19-10540106E00000X
SC1-22-61722103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst