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Kayley Proenza

Behavior Technician in Campbell, CA. Individual provider (NPI-1).

NPI number1164099206
StatusActive
Last updated in NPPESJun 8, 2021

Details

NPI
1164099206
Entity type
Individual (NPI-1)
Name
Kayley Proenza
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2021
Certification date
Jun 8, 2021
Last updated
Jun 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

256 E Hamilton Ave Ste C
Campbell, CA 95008-0237

Phone 844-322-7483 · Fax 888-334-7021

Mailing address

749 37th Ave
Santa Cruz, CA 95062-5124

Phone 844-322-7483 · Fax 888-334-7021

Other practice locations

749 37th Ave
Santa Cruz, CA 95062-5124

Phone 844-322-7483 · Fax 888-334-7021

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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