Savanah Kelly
Individual provider Active NPI Behavior Technician · Cedar Glen, CA
NPI 1780439034 · NPPES record last updated Apr 20, 2024
Key facts
- NPI
- 1780439034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- PO Box 883
Cedar Glen, CA 92321-0883 - Phone
- (760) 669-6454
- NPI assigned
- Apr 20, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
PO Box 883
Cedar Glen, CA 92321-0883
Mailing address
PO Box 883
Cedar Glen, CA 92321-0883
Phone (760) 669-6454
Other providers in Cedar Glen, CA
All providers in Cedar Glen, 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 Apr 20, 2024. 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.