Individual
KELSEY RAE GOODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 E MUIRWOOD DR STE 130, PHOENIX, AZ 85048-8807
(480) 610-6981
(480) 898-7419
Mailing address
1546 N PARKWAY DR, GILBERT, AZ 85234-5412
(480) 716-1414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001413
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2021
Last updated
12/02/2024
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