Kimberly J. Nutall

Behavior Technician · Ceres, CA

Individual Active NPI

NPI number 1790646164

Practice location

2916 Joy Ave
Ceres, CA 95307-2813
Phone
(209) 604-3186

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NPI record

NPI
1790646164
Entity type
Individual (Type 1)
Enumeration date
November 24, 2025
Last updated
November 24, 2025
Certified
November 24, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — CA

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

About Kimberly Nutall

Kimberly J. Nutall is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2916 Joy Ave, Ceres, CA 95307-2813. The NPI number 1790646164 was assigned on November 24, 2025 and the record was last updated on November 24, 2025.

Frequently asked questions

What is the NPI number of Kimberly J. Nutall?

The NPI number is 1790646164.

What is the phone number of Kimberly Nutall?

The phone number listed for the practice location is (209) 604-3186.

Where is Kimberly Nutall located?

2916 Joy Ave, Ceres, CA 95307-2813.

What is the taxonomy code for Kimberly Nutall?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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