Individual provider · Type 1 NPI

Kelly Marie Goodwin

Behavior Analyst · Rockford, IL

NPI number 1972078392 Active

Practice location

2990 N Perryville Rd
Rockford, IL 61107-6814

Call (815) 469-1500 Map

Other practice locations

9500 Bormet Dr Ste 201, Mokena, IL 60448-8399 · (815) 469-1500

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-18-31541 (IL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1972078392

Kelly Marie Goodwin's National Provider Identifier is 1972078392, issued on Oct 11, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 12, 2022.