# GOSHEN CITY BEHAVIORAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134782626
- **Authorized official:** HOLLI ELIZABETH PERRIN BCBA (PRESIDENT)
- **Authorized official phone:** (267) 980-8785

## Contact information

- **Practice address:** 203 N 5TH ST, GOSHEN, IN 46528-3226
- **Practice address phone:** (267) 980-9785
- **Mailing address:** 66208 GRASSLANDS LN, GOSHEN, IN 46526-7323
- **Mailing address phone:** (267) 980-9785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2019
- **Last updated:** 04/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300027991 | — | IN |