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

Kelly Marie Goodwin

Individual provider Behavior Analyst · NPI 1972078392

Kelly Marie Goodwin is a Behavior Analyst in Rockford, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

2990 N Perryville Rd
Rockford, IL 61107-6814
Phone: (815) 469-1500
Show map & directions

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

Additional practice locations (1)

  • 9500 Bormet Dr Ste 201, Mokena, IL 60448-8399 — (815) 469-1500

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-18-31541 (IL)

Record details

NPI number1972078392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2018
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address2990 N Perryville Rd, Rockford, IL 61107-6814

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