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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLY KAVANAUGH

Active

CARLY KAVANAUGH is a Behavior Technician healthcare provider located in JEFFERSON CITY, Missouri. NPI 1073482592 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · JEFFERSON CITY, MO

Registration Details

NPI Number
1073482592
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2025 (0.79161006359814 yrs)
Last Updated
Nov 3, 2025

Practice Information

Address
1600 SOUTHWEST BLVD
JEFFERSON CITY, MO, 651092455
Browse MO providers · Browse ZIP 65109
Phone
8885151793
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in JEFFERSON CITY, MO

Name Credential NPI
KELBY POLLOCK 1194696724
FAITH MOORE 1538034269
BRITTANY REICHEL 1508732785
JAUKYASHA ROBINSON 1619846094
AMBER HICKS 1003785528
CHANYANUT SRIPROM 1063381598
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.