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

Individual provider Behavior Technician · NPI 1104412840

Shelby Gooden is a Behavior Technician in Woodstock, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

7440 Highway 92
Woodstock, GA 30189-5235
Phone: (770) 212-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3470 Florence Rd, Powder Springs, GA 30127-6026 — (770) 212-2170

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-51429 (TX)
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-70655 (TX)

Record details

NPI number1104412840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 12, 2023
Certification dateAugust 24, 2022
Mailing address911 N Goliad St, Rockwall, TX 75087-2230

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