Provider Demographics
NPI:1922804657
Name:GOING FORWARD BEHAVIOR COACHING
Entity type:Organization
Organization Name:GOING FORWARD BEHAVIOR COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:SUE KELLY
Authorized Official - Last Name:STREY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA, CHWC
Authorized Official - Phone:608-317-8574
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:HOLMEN
Mailing Address - State:WI
Mailing Address - Zip Code:54636-0144
Mailing Address - Country:US
Mailing Address - Phone:608-317-8574
Mailing Address - Fax:
Practice Address - Street 1:N8135 CAMBRIAN RD
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636-9279
Practice Address - Country:US
Practice Address - Phone:608-317-8574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health