Healthcare Provider Details

I. General information

NPI: 1427979103
Provider Name (Legal Business Name): KAYN CALHOUN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 CARNEGIE AVE UNIT 1
SANTA ANA CA
92705-5504
US

IV. Provider business mailing address

3680 MONROE ST APT 504
RIVERSIDE CA
92504-6307
US

V. Phone/Fax

Practice location:
  • Phone: 800-273-4292
  • Fax:
Mailing address:
  • Phone: 951-858-5612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: