1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Behavior Analyst
  6. NPI Profile

KELLY MARIE GOODWIN
NPI 1972078392
Behavior Analyst in Rockford, IL

Active since October 11, 2018
2990 N PERRYVILLE RD, ROCKFORD, IL 61107(815) 469-1500 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 12, 2022, Apr 29, 2022, Oct 11, 2018 (3 updates tracked since 2018).

About Kelly Marie Goodwin NPPES

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

KELLY MARIE GOODWIN (NPI 1972078392) is an individual behavior analyst provider in Rockford, Illinois, licensed in Illinois (1-18-31541) and active in the NPI registry since October 2018. She maintains a secondary practice location in Mokena.

NPPES Registry Identity

NPI1972078392
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKELLY MARIE GOODWIN
Location Address2990 N PERRYVILLE RDRockford, IL 61107-6814
Mailing Address2990 N Perryville RdRockford, IL 61107-6814 · (815) 469-1500
Phone(815) 469-1500
Sole ProprietorNo
Enumeration DateOctober 11, 2018
Last NPPES UpdateJuly 12, 20223 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1972078392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IL · 1-18-31541
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.
2990 N PERRYVILLE RD, Rockford, IL 61107
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Marie Lough

Secondary Practice Location 1

Location 19500 Bormet Dr Ste 201Mokena, IL 60448-8399 · Phone (815) 469-1500

Other Providers at the Same Location NPPES 3

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

KORYNN BURNETT BCBA
Behavior Analyst
2990 N PERRYVILLE RD
ROCKFORD, IL 61107
Winnebago County (815) 469-1500
TAYLOR ELIZABETH HUGHES
Behavior Analyst
2990 N PERRYVILLE RD
ROCKFORD, IL 61107
Winnebago County (000) 000-0000
CHADWICK STEVENS
Behavior Technician
2990 N PERRYVILLE RD
ROCKFORD, IL 61107
Winnebago County (815) 469-1500

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 Goodwin's NPI number?

The NPI number for Kelly Goodwin is 1972078392. It was assigned to this individual provider in the NPPES registry on October 11, 2018. The provider is also known as Kelly Marie Lough.

Where is Kelly Goodwin located?

Kelly Goodwin practices at 2990 N Perryville Rd, Rockford, IL 61107. The listed phone number is (815) 469-1500.

What is Kelly Goodwin'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 Kelly Goodwin was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.