IndividualActive
Taytum Goodman
NPI 1619770104 · Behavior Technician · Port Saint Lucie, FL
Taytum Goodman is a Behavior Technician provider in Port Saint Lucie, FL (NPI 1619770104).
Provider details
- NPI number
- 1619770104
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- BACB1018502 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 Se Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553
Phone: (830) 377-9721
Street-level locationGet directions
Mailing address
2424 Metfield Dr Apt 2410
Melbourne, FL 32940-5324
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2026-01-04
- Certified
- 2026-01-04
Frequently asked questions
- What is Taytum Goodman's NPI number?
- Taytum Goodman's National Provider Identifier (NPI) is 1619770104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Taytum Goodman's specialty?
- Taytum Goodman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Taytum Goodman located?
- Taytum Goodman's practice location on file with NPPES is 1801 Se Hillmoor Dr Ste B101-103, Port Saint Lucie, FL 34952-7553.
- What is Taytum Goodman's phone number?
- The practice phone number listed in the NPPES registry for Taytum Goodman is (830) 377-9721.
- Is Taytum Goodman's NPI active?
- Yes — Taytum Goodman's NPI (1619770104) is active in the NPPES registry as of the last update on 2026-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.