Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Derek P Goodman

Individual provider Behavior Technician · NPI 1194497925

Derek P Goodman is a Behavior Technician in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

410 Teaco Rd
Kennett, MO 63857-3239
Phone: (870) 565-9776
Fax: (870) 565-9740
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MO)

Record details

NPI number1194497925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2021
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

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