Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Goodman Bax

Individual provider Behavior Technician · NPI 1821662339

Carly Goodman Bax is a Behavior Technician in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1010 N Hancock St
Philadelphia, PA 19123-2334
Phone: (267) 978-4305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1821662339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021
Mailing address1337 Marlborough St, Philadelphia, PA 19125-3214

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