KELCIE DOMINO KERDOON
NPI 1598435448
Behavior Technician in Garden Grove, CA

Active since September 13, 2021
12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(855) 223-7123(619) 374-7134 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2023, Sep 13, 2021 (2 updates tracked since 2021).

About Kelcie Domino Kerdoon NPPES

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

KELCIE DOMINO KERDOON (NPI 1598435448) is an individual behavior technician in Garden Grove, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1598435448
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELCIE DOMINO KERDOON
Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658
Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123 · Fax (617) 374-7134
Fax(619) 374-7134
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1598435448 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.
12465 LEWIS ST STE 102, Garden Grove, CA 92840

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
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840
Behavior Technician
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840

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 Kelcie Kerdoon's NPI number?

The NPI number for Kelcie Kerdoon is 1598435448. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Kelcie Kerdoon located?

Kelcie Kerdoon practices at 12465 Lewis St Ste 102, Garden Grove, CA 92840. The listed phone number is (855) 223-7123.

What is Kelcie Kerdoon'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 Kelcie Kerdoon was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.