CRYSTA NADIEN GOODMAN RBT - NPI 1740704279 - Behavior Technician in Fayetteville, NC

Q: What is Crysta Goodman's NPI number?

The NPI number for Crysta Goodman is 1740704279. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Q: What is Crysta Goodman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crysta Goodman was last updated on July 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Crysta Nadien Goodman Rbt NPPES

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

CRYSTA NADIEN GOODMAN RBT (NPI 1740704279) is an individual behavior technician in Fayetteville, North Carolina and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1740704279

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameCRYSTA NADIEN GOODMANCredential: RBT

Location Address5948 FISHER RDFayetteville, NC 28304-5640

Mailing Address111 Mackenan DrCary, NC 27511-7903 · (919) 371-2848

Phone(910) 401-2870

Sole ProprietorYes

Enumeration DateJuly 26, 2017

✔ NPI 1740704279 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.

5948 FISHER RD, Fayetteville, NC 28304

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP