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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY MARIE GOODWIN

Active

KELLY MARIE GOODWIN is a Behavior Analyst healthcare provider located in ROCKFORD, Illinois. NPI 1972078392 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · ROCKFORD, IL

Registration Details

NPI Number
1972078392
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2018 (7.8129200243499 yrs)
Last Updated
Jul 12, 2022
License
1-18-31541 (IL)

Practice Information

Address
2990 N PERRYVILLE RD
ROCKFORD, IL, 611076814
Browse IL providers · Browse ZIP 61107
Phone
8154691500
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in ROCKFORD, IL

Name Credential NPI
MR. KURT J GARCIA 1275839284
JULIE MEYER 1043608177
DANIELLE R HARVEY 1730603747
KORYNN BURNETT BCBA 1184113714
CASSANDRA AKER 1699251934
KEEVA BARTLEY 1366927022
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.