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

Shelby Goodwin

Individual provider Behavior Technician · NPI 1962294546

Shelby Goodwin is a Behavior Technician in Venice, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-2623
Phone: (310) 396-6468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-25-421477 (CA)

Record details

NPI number1962294546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2025
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025
Mailing address1016 Tiverton Ave, Los Angeles, CA 90024-3073

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