Healthcare Provider Details

I. General information

NPI: 1437739414
Provider Name (Legal Business Name): KALI LYNN ARSENAULT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BRADEN AVE
SARASOTA FL
34243-2001
US

IV. Provider business mailing address

3816 PAPAI DR
SARASOTA FL
34232-5561
US

V. Phone/Fax

Practice location:
  • Phone: 941-355-7637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB652377
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-85454
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: