Katelyn Sidamrong
Behavior Technician in Clovis, CA. Individual provider (NPI-1).
NPI number1174449045
StatusActive
Last updated in NPPESJun 25, 2026
Details
- NPI
- 1174449045
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Sidamrong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2026
- Certification date
- Jun 25, 2026
- Last updated
- Jun 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Y9573509 | CA | Yes |
Practice location
1420 Shaw Ave Ste 105Clovis, CA 93611-4072
Phone 559-314-0623
Mailing address
3347 E Cornell AveFresno, CA 93703-1315
Phone 559-301-0980
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.
Other Behavior Technician providers in Clovis, CA
- Zavier Michael AdamsNPI 1659239333
- Gabriel G AguirreNPI 1316745201
- Jenny AlcantarNPI 1750285169
- Lissette AlcantarNPI 1760028211
- Vanessa Denise AliceaNPI 1912881889
- Danny AlvarezNPI 1831913938
- Enyinna AnyadiegwuNPI 1457859597
- Lorena ArandaNPI 1528547866
- Taneya AustinNPI 1306772058
- Jessica AvalosNPI 1407347362
All 324 Behavior Technician providers in Clovis · All 2,408 providers in Clovis
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.