Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972078392 Individual Practitioner Female Practitioner

Kelly Marie Goodwin

Behavior Analyst • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Kelly Goodwin is a registered healthcare professional specializing in Behavior Analyst in Rockford, IL. Practice services are available at 2990 N PERRYVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2990 N Perryville Rd

Rockford, IL 611076814

Telephone 8154691500
Associated Practice Facility / Clinic
🏢 Westside Aba Facility NPI 1245585777

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Rockford, IL (3105 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: 2022-07-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-18-31541

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.

Secondary Practice Locations

9500 Bormet Dr Ste 201

Mokena, IL 604488399

Phone: 8154691500

Practice Associates & Co-Workers

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

40 Associated Practitioners
Beverly Blust

Speech-Language Pathologist

NPI 1003332768
Jennifer Vargo , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1003343922

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Lauren Caratachea

Behavior Analyst

NPI 1013341031
Shannon Watson

Behavior Technician

NPI 1013481654
NPI 1013522747

Physical Therapist, Doctor of Physical Therapy

NPI 1013575232

Doctor of Physical Therapy

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 12, 2022

Registered at 2990 N PERRYVILLE RD, ROCKFORD, IL 611076814 (Tel: 8154691500)

📍
Updated Business Mailing Address July 12, 2022

Registered at 2990 N PERRYVILLE RD, ROCKFORD, IL 611076814 (Tel: 8154691500)

📍
Updated Practice Location April 29, 2022

Registered at 9500 BORMET DR STE 201, MOKENA, IL 604488399 (Tel: 8154691500)

📍
Updated Business Mailing Address April 29, 2022

Registered at 9500 BORMET DR STE 201, MOKENA, IL 604488399 (Tel: 8154691500)

NPI Profile Active October 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2018

Registered at 5 REVERE DR STE 120, NORTHBROOK, IL 600628005 (Tel: 7086510527)

📍
Updated Business Mailing Address October 11, 2018

Registered at 2107 CORONET RD, LOVES PARK, IL 611113212 (Tel: 7086510527)

👤
Provider Name / Credentials Updated October 11, 2018

Recorded as KELLY GOODWIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2018

Behavior Analyst (License #1-18-31541 in IL)

🟢
Initial NPI Registration & Enumeration October 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972078392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2018
Last Update: July 12, 2022
Sole Proprietor: No

Mailing Address

2990 N Perryville Rd

Rockford, IL 611076814

Phone: 8154691500

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.