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

Kelsey Rae Goodner

Individual provider Behavior Technician · NPI 1205425758

Kelsey Rae Goodner is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4350 E Muirwood Dr Ste 130
Phoenix, AZ 85048-8807
Phone: (480) 610-6981
Fax: (480) 898-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BEH-001413 (AZ)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1205425758
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2021
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1546 N Parkway Dr, Gilbert, AZ 85234-5412

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