Individual provider · Type 1 NPI

Kaitlyne Bodoh

Licensed Psychiatric Technician · Porterville, CA

NPI number 1194686758 Active

Practice location

1055 W Henderson Ave
Porterville, CA 93257-1490

Call (559) 788-1200 Map

Fax (559) 788-1200

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X42742 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1194686758

Kaitlyne Bodoh's National Provider Identifier is 1194686758, issued on Nov 21, 2025. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Porterville, CA. The record was last updated on Nov 21, 2025.