Kaleb Adams
Individual provider Active NPI Behavior Technician · Modesto, CA
NPI 1558069815 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1558069815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2630 W Rumble Rd
Modesto, CA 95350-0155 - Phone
- (209) 222-2378
- NPI assigned
- Feb 16, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2630 W Rumble Rd
Modesto, CA 95350-0155
Mailing address
2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 222-2378
Other providers in Modesto, CA
- Mayra J Adame
- Krista Adametz
- Angela L Adams
- Fred Adams
- Heather Adams
- Nahera Adams
- Rex Scott Adamson
- Addiction Centers of Excellence Inc.
- Addiction Free Recovery Services
- Holly Christine Addis
All providers in Modesto, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. 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.