Individual provider · NPI-1
Kahlil Golightly
Behavior Technician · Newark, NJ
NPI number1831020049
StatusActive
Last updated in NPPESMay 27, 2026
Details
- NPI
- 1831020049
- Entity type
- Individual (NPI-1)
- Name
- Kahlil Golightly
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 27, 2026
- Certification date
- May 27, 2026
- Last updated
- May 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | NJ | Yes |
Practice location
625 Broad St Ste 240Newark, NJ 07102-4417
Phone 973-434-5081
Mailing address
625 Broad St Ste 240Newark, NJ 07102-4417
Phone 973-434-5081
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.