Kaedence Lynne Clementson II
Behavior Technician in Phoenix, AZ. Individual provider (NPI-1).
NPI number1265375331
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1265375331
- Entity type
- Individual (NPI-1)
- Name
- Kaedence Lynne Clementson II
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | AZ | Yes |
Practice location
1831 W Rose Garden Ln Ste 4Phoenix, AZ 85027-2725
Phone 602-808-9912
Mailing address
7051 E Lurlene DrTucson, AZ 85730-1781
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