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Deactivated NPI 1205425758 Deactivated / Inactive NPI Female Practitioner

Kelsey Rae Goodner

Behavior Analyst • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelsey Goodner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2021
NPI Deactivation Date October 20, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Kelsey Goodner was a registered Behavior Analyst practicing in Phoenix, AZ. Throughout an active medical career spanning 3 years, Kelsey Goodner provided care at the practice location at 4350 E MUIRWOOD DR STE 130 until profile deactivation on 2024-10-20.

Practice Location & Contact Primary Location

Practice Address

4350 E Muirwood Dr Ste 130

Phoenix, AZ 850488807

Telephone 4806106981
Fax 4808987419
Associated Practice Facility / Clinic
🏢 Highland Behavioral, Llc Facility NPI 1306265285

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
528 Specialists

Practicing in Phoenix, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-02
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ BEH-001413

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sharon Williams

Clinic/Center - Community Health

NPI 1003413022
Meilani West

Behavior Technician

NPI 1003779505
NPI 1013392497

Master of Education, Board Certified Behavior Analyst

Daryl Luigs , MS

Behavior Technician

NPI 1023634953

Master of Science

Melica Ghotbi Ravandi

Behavior Technician

NPI 1023668241
Wesley Shamblen

Behavior Technician

NPI 1023840642

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 02, 2024

Registered at 4350 E MUIRWOOD DR STE 130, PHOENIX, AZ 850488807 (Tel: 4806106981)

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Updated Business Mailing Address December 02, 2024

Registered at 1546 N PARKWAY DR, GILBERT, AZ 852345412 (Tel: 4807161414)

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Provider Name / Credentials Updated December 02, 2024

Recorded as KELSEY GOODNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Behavior Technician

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NPI Profile Deactivated October 20, 2024

Record deactivated on October 20, 2024

NPI Profile Active January 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2021

Registered at 4350 E MUIRWOOD DR STE 130, PHOENIX, AZ 850488807 (Tel: 4806106981)

📍
Updated Business Mailing Address January 11, 2021

Registered at 4350 E MUIRWOOD DR STE 130, PHOENIX, AZ 850488807 (Tel: 4806106981)

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Provider Name / Credentials Updated January 11, 2021

Recorded as KELSEY GOODNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Behavior Technician

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Initial NPI Registration & Enumeration January 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205425758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2021
Last Update: December 02, 2024
Deactivation Date: October 20, 2024
Sole Proprietor: No

Mailing Address

1546 N Parkway Dr

Gilbert, AZ 852345412

Phone: 4807161414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.