Kailee Stock
Behavior Technician in Clovis, CA. Individual provider (NPI-1).
NPI number1649023367
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1649023367
- Entity type
- Individual (NPI-1)
- Name
- Kailee Stock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Y7115165 | CA | Yes |
Practice location
1420 Shaw Ave Ste 105Clovis, CA 93611-4072
Phone 559-314-0623
Mailing address
996 Royal Marco WayMarco Island, FL 34145-1829
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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All 324 Behavior Technician providers in Clovis · All 2,408 providers in Clovis
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