Provider Profile

Kallie Provencher, BCBA

Unclaimed Profile

About Kallie Provencher

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Specialty

Credentials & Licensing

NPI1447856950
NPI issued12/09/2020

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

Where is Kallie Provencher located?

Kallie Provencher is listed at 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kallie Provencher's phone number?

The number on file is (877) 418-2978. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kallie Provencher's NPI number?

Kallie Provencher's National Provider Identifier is 1447856950. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Kallie Provencher been practicing?

Kallie Provencher has 6+ years experience. Registered with an NPI since 2020. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Kallie Provencher confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kallie Provencher. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.