Individual provider · Type 1 NPI

Kimberly J. Nutall

Behavior Technician · Ceres, CA

NPI number 1790646164 Active

Practice location

2916 Joy Ave
Ceres, CA 95307-2813

Call (209) 604-3186 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1790646164

Kimberly J. Nutall's National Provider Identifier is 1790646164, issued on Nov 24, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Ceres, CA. The record was last updated on Nov 24, 2025.