Kevin Andrade

Individual provider Active NPI Behavior Technician · Madera, CA

NPI 1093634016 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1093634016
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
620 N G St
Madera, CA 93637-3129
Phone
(559) 414-9356
NPI assigned
Jul 13, 2026
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Yes

Addresses

Primary practice location

620 N G St
Madera, CA 93637-3129

Mailing address

620 N G St
Madera, CA 93637-3129
Phone (559) 414-9356

Other providers in Madera, CA

All providers in Madera, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.