Individual provider Active NPI

Kaitlyn Goobeck

  • Behavior Analyst
  • Milton, FL
National Provider Identifier
1669039723
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-82473 Issued in FL
Practice address
8100 Opportunity Dr Ste B
Milton, FL 32583-8727
Phone
(850) 723-6570
Fax
(850) 994-8443
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-82473 FL Primary

Addresses

Primary practice location

8100 Opportunity Dr Ste B
Milton, FL 32583-8727

Mailing address

4122 Williamson LN
Pace, FL 32571-2237
Phone (850) 723-6570

Other practice location 1

9981 Chemstrand Rd
Pensacola, FL 32514-2702
Phone (850) 723-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pensacola Behavior Services Inc Behavior Analyst CurrentSince Feb 1, 2023 Accepting new patients
Greater Pensacola Behavior Services Inc Behavior Analyst CurrentSince Jul 25, 2021 Accepting new patients

Locations

8100 Opportunity Dr
Ste B
Milton, FL 32583
Phone (850) 723-6570

9981 Chemstrand Rd
Pensacola, FL 32514
Phone (850) 723-6570

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1669039723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 WILLIAMSON LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712237",
            "telephone_number": "850-723-6570",
            "fax_number": "850-994-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OPPORTUNITY DR STE B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325838727",
            "telephone_number": "850-723-6570",
            "fax_number": "850-994-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 Chemstrand Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325142702",
            "country_code": "US",
            "telephone_number": "850-723-6570",
            "fax_number": "850-994-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOBECK",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-82473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.