KELLY GOODMAN
NPI 1679108286
Behavior Technician in Raleigh, NC

Active since March 04, 2020
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607(407) 340-8642 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Goodman NPPES

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

KELLY GOODMAN (NPI 1679108286) is an individual behavior technician in Raleigh, North Carolina and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1679108286
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELLY GOODMAN
Location Address5121 KINGDOM WAY STE 100Raleigh, NC 27607-6063
Mailing Address5121 Kingdom Way Ste 100Raleigh, NC 27607-6063
Sole ProprietorNo
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
NPI 1679108286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
5121 KINGDOM WAY STE 100, Raleigh, NC 27607

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Technician
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Analyst
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Technician
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Technician
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Technician
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Technician
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607
Behavior Technician
5121 KINGDOM WAY STE 100
RALEIGH, NC 27607

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 Kelly Goodman's NPI number?

The NPI number for Kelly Goodman is 1679108286. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Kelly Goodman located?

Kelly Goodman practices at 5121 Kingdom Way Ste 100, Raleigh, NC 27607. The listed phone number is (407) 340-8642.

What is Kelly Goodman's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kelly Goodman was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.