CARLY KAVANAUGH
NPI 1073482592
Behavior Technician in Jefferson City, MO
About Carly Kavanaugh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY KAVANAUGH (NPI 1073482592) is an individual behavior technician in Jefferson City, Missouri and active in the NPI registry since November 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Kavanaugh's NPI number?
The NPI number for Carly Kavanaugh is 1073482592. It was assigned to this individual provider in the NPPES registry on November 3, 2025.
Where is Carly Kavanaugh located?
Carly Kavanaugh practices at 1600 Southwest Blvd, Jefferson City, MO 65109. The listed phone number is (888) 515-1793.
What is Carly Kavanaugh's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Carly Kavanaugh was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.