Whalio Doctors

NPI 1003389719

Kelly L Bright

Practitioner Behavior Technician Petaluma, CA

Practice location

Address
1670 Corporate Cir STE 100, Petaluma, CA 94954-6947
Phone
(707) 308-2121
Mailing address
5333 Eunice St, Rohnert Park, CA 94928-1822

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003389719
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jan 2019
Record last updated
4 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.