Tiara Goodman
Individual provider Active NPI Behavior Technician · Cameron, NC
NPI 1780369249 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1780369249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-470035 (NC)
- Practice address
- 1477 NC 24-87
Cameron, NC 28326-6752 - Phone
- (910) 484-1711
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-470035 | NC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-470035 | NC | Yes |
Addresses
Primary practice location
1477 NC 24-87
Cameron, NC 28326-6752
Mailing address
1477 NC 24-87
Cameron, NC 28326-6752
Phone (910) 484-1711
Other providers in Cameron, NC
- Janece Gavaletz
- Caroline Shealy Gerraghty
- Jared John Carl Gersch
- Jessica Ginorio
- Halana Gittens
- Jessica Ann Griffin
- Sarah Griffin
- Aleya Gunn
- Gabriela Gutierrez
- Jonathan E Hailey
All providers in Cameron, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.