Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104412840 Individual Practitioner Female Practitioner

Shelby Gooden

Behavior Analyst • Woodstock, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Shelby Gooden is a registered healthcare professional specializing in Behavior Analyst in Woodstock, GA. Official NPI practice address is registered at 7440 HIGHWAY 92.

Practice Location & Contact Primary Location

Practice Address

7440 Highway 92

Woodstock, GA 301895235

Telephone 7702122170
Associated Practice Facility / Clinic
🏢 Moon River, Llc Facility NPI 1730143553

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Woodstock, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Woodstock, GA (2715 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: 2022-08-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License TX 1-21-51429

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

State License TX RBT-18-70655

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.

Secondary Practice Locations

3470 Florence Rd

Powder Springs, GA 301276026

Phone: 7702122170

Practice Associates & Co-Workers

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

18 Associated Practitioners
Shequila Beamer , MS - SLP

Speech-Language Pathologist

NPI 1093395824

MSSLP

Dr. Dimitri Defrant , DPT

Physical Therapist

NPI 1184238040

Doctor of Physical Therapy

Donna Tanedo , PT

Physical Therapist

NPI 1265829691

Physical Therapist

Lindsay Mcfeeley

Speech-Language Pathologist

NPI 1437639721
Riddhi Adhvaryu , PT

Physical Therapist

NPI 1518406792

Physical Therapist

Susan Jones , SLP

Speech-Language Pathologist

NPI 1518472158

Speech-Language Pathologist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 12, 2023

Registered at 7440 HIGHWAY 92, WOODSTOCK, GA 301895235 (Tel: 7702122170)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2023

Behavior Technician (License #RBT-18-70655 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Behavior Analyst (License #1-21-51429 in TX)

NPI Profile Active December 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2020

Registered at 709 W BROAD ST, FORNEY, TX 751269148 (Tel: 4802777225)

📍
Updated Business Mailing Address December 16, 2020

Registered at 911 N GOLIAD ST, ROCKWALL, TX 750872230

👤
Provider Name / Credentials Updated December 16, 2020

Recorded as SHELBY GOODEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2020

Behavior Technician (License #RBT-18-70655 in TX)

🟢
Initial NPI Registration & Enumeration December 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104412840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2020
Last Update: December 12, 2023
Sole Proprietor: Yes

Mailing Address

911 N Goliad St

Rockwall, TX 750872230

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.