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

Jordan Goolsby

Individual provider Behavior Technician · NPI 1639066822

Jordan Goolsby is a Behavior Technician in Nampa, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

220 W Georgia Ave
Nampa, ID 83686-2835
Phone: (425) 368-3262
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 number1639066822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address59 N Firestone Way, Nampa, ID 83651-4810

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