KELLY DORMER
NPI 1396409793
Behavior Technician in Covina, CA

Active since October 22, 2021
1274 CENTER COURT DR STE 211, COVINA, CA 91724(626) 339-4999 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Oct 22, 2021 (2 updates tracked since 2021).

About Kelly Dormer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY DORMER (NPI 1396409793) is an individual behavior technician in Covina, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1396409793
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELLY DORMER
Location Address1274 CENTER COURT DR STE 211Covina, CA 91724-3668
Mailing Address4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537 · (888) 428-3223 · Fax (323) 866-1881
Sole ProprietorNo
Enumeration DateOctober 22, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1396409793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

1274 CENTER COURT DR STE 211, Covina, CA 91724

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.

Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Marriage & Family Therapist
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724
Behavior Technician
1274 CENTER COURT DR STE 211
COVINA, CA 91724

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 Kelly Dormer's NPI number?

The NPI number for Kelly Dormer is 1396409793. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Kelly Dormer located?

Kelly Dormer practices at 1274 Center Court Dr Ste 211, Covina, CA 91724. The listed phone number is (626) 339-4999.

What is Kelly Dormer'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 Kelly Dormer was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.