Kaynia Korlette Wilson
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1023908290
StatusActive
Last updated in NPPESApr 2, 2026
Details
- NPI
- 1023908290
- Entity type
- Individual (NPI-1)
- Name
- Kaynia Korlette Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2025
- Certification date
- Apr 2, 2026
- Last updated
- Apr 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
879 W 190th St Ste 1000Gardena, CA 90248-4255
Phone 310-819-4523
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123
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