Kelly Marie Goodwin

NPI #1972078392 in Rockford, Illinois

Provider Information

NPI Number: 1972078392
Entity Type: Individual
Name: Kelly Marie Goodwin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 11, 2018
Last Updated: Jul 12, 2022

Practice Location

Address: 2990 N PERRYVILLE RD
City: Rockford
State: Illinois
ZIP Code: 61107-6814
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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