Healthcare Provider Details

I. General information

NPI: 1447197397
Provider Name (Legal Business Name): KAYLIE BRIANNE PRIOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 YOUNG ST UNIT ST
BAKERSFIELD CA
93311-8896
US

IV. Provider business mailing address

14036 MEACHAM RD
BAKERSFIELD CA
93314-9888
US

V. Phone/Fax

Practice location:
  • Phone: 833-831-8946
  • Fax:
Mailing address:
  • Phone: 661-864-6704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: