Individual provider Active NPI

Christopher Odetoye

  • Behavior Analyst
  • Goodyear, AZ
National Provider Identifier
1821413071
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH4441 Issued in AZ
Practice address
16870 W Woodlands Ave
Goodyear, AZ 85338-6054
Phone
(623) 925-8606
Fax
(623) 925-8606
NPI assigned
Feb 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 BH4441 AZ Primary

Addresses

Primary practice location

16870 W Woodlands Ave
Goodyear, AZ 85338-6054

Mailing address

16870 W Woodlands Ave
Goodyear, AZ 85338-6054
Phone (623) 925-8606

Other identifiers 1

IdentifierTypeStateIssuer
461868645MedicaidAZ

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

State licenses

LicenseStateTypeSpecialty
BH4441AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Health Residential Care LLC Past Accepting new patients

Organizations & group practices 1

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1821413071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 W WOODLANDS AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386054",
            "telephone_number": "623-925-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 W WOODLANDS AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386054",
            "telephone_number": "623-925-8606",
            "fax_number": "623-925-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODETOYE",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BH4441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461868645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.