Kyle Kenzy
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1093685331
StatusActive
Last updated in NPPESNov 11, 2025
Details
- NPI
- 1093685331
- Entity type
- Individual (NPI-1)
- Name
- Kyle Kenzy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2025
- Certification date
- Nov 11, 2025
- Last updated
- Nov 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7220 Trade St Ste 390San Diego, CA 92121-2346
Phone 858-278-6603
Mailing address
996 Royal Marco WayMarco Island, FL 34145-1829
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