Active NPI
Jamie Goodrich, M.S., B.C.B.A.
- Behavior Analyst
- Gilbert, AZ
National Provider Identifier
1689941023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-9502
- Practice address
- 1519 S Higley Rd
Gilbert, AZ 85296-4793 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000064 | AZ | |
| Behavior Analyst | 103K00000X | 1-11-9502 | Primary |
Addresses
Primary practice location
1519 S Higley Rd
Gilbert, AZ 85296-4793
Mailing address
PO Box 740780
Atlanta, GA 30374-0780
Phone (855) 223-7123
Other practice location 1
2400 W Dunlap Ave
Suite 100
Phoenix, AZ 85021-2817
Phone (602) 325-2485
Other names 1
- Jamie Gibson
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000064 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aces 2020, LLC | Past | Accepting new patients | |
| Center for Autism & Related Disorders, LLC | Behavior Analyst | Past | Accepting new patients |
| Ally Pediatric Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Queen Creek, AZ
- NPI 1679489397
-
- Behavior Analyst
- Paradise Valley, AZ
- NPI 1427422179
-
- Behavior Analyst
- Phoenix, AZ
- NPI 1104573807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1689941023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740780",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 S HIGLEY RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964793",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
}
],
"practiceLocations": [
{
"address_1": "2400 W Dunlap Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850212817",
"country_code": "US",
"telephone_number": "602-325-2485",
"fax_number": "602-225-2485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODRICH",
"first_name": "JAMIE",
"credential": "M.S., B.C.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000064",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-9502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "GIBSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.