Healthcare Provider Details

I. General information

NPI: 1619880887
Provider Name (Legal Business Name): KENDRA CAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 SAND LAKE RD
ORLANDO FL
32809-7750
US

IV. Provider business mailing address

12810 MOSS PARK RIDGE DR
ORLANDO FL
32832-7089
US

V. Phone/Fax

Practice location:
  • Phone: 407-412-6114
  • Fax:
Mailing address:
  • Phone: 227-282-0502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: