KELLIE GOLDBERG
NPI 1154787570
Behavior Analyst in Philadelphia, PA

Q: What is Kellie Goldberg's NPI number?

The NPI number for Kellie Goldberg is 1154787570. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Kellie Goldberg's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Goldberg was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2016

4822 BEAUMONT AVE, PHILADELPHIA, PA 19143(215) 888-2616 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kellie Goldberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE GOLDBERG (NPI 1154787570) is an individual behavior analyst provider in Philadelphia, Pennsylvania and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1154787570

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKELLIE GOLDBERG

Location Address4822 BEAUMONT AVEPhiladelphia, PA 19143-3408

Mailing Address4822 Beaumont AvePhiladelphia, PA 19143-3408 · (215) 888-2616

Phone(215) 888-2616

Sole ProprietorYes

Enumeration DateJanuary 14, 2016

✔ NPI 1154787570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

4822 BEAUMONT AVE, Philadelphia, PA 19143

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Goldberg's NPI number?

The NPI number for Kellie Goldberg is 1154787570. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Kellie Goldberg located?

Kellie Goldberg practices at 4822 Beaumont Ave, Philadelphia, PA 19143. The listed phone number is (215) 888-2616.

What is Kellie Goldberg's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Kellie Goldberg was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.