Healthcare Provider Details
I. General information
NPI: 1154169639
Provider Name (Legal Business Name): THE LEARNING OWL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8421 AUBURN BLVD STE 150
CITRUS HEIGHTS CA
95610-0394
US
IV. Provider business mailing address
8421 AUBURN BLVD STE 150
CITRUS HEIGHTS CA
95610-0394
US
V. Phone/Fax
- Phone: 916-699-0375
- Fax:
- Phone: 916-699-0375
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAITLIN
LEIGH KYSE
LOYD
Title or Position: CEO
Credential: OTR/L
Phone: 916-699-0375