Healthcare Provider Details

I. General information

NPI: 1518893429
Provider Name (Legal Business Name): KEVEONNA SINGLETON RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7821 ENGLISH HILLS RD
VACAVILLE CA
95688-9543
US

IV. Provider business mailing address

310 W MAIN ST
WOODLAND CA
95695-3881
US

V. Phone/Fax

Practice location:
  • Phone: 916-277-4805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-511100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: