Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernard Keovoravongsa

Individual provider Behavior Technician · NPI 1992294177

Bernard Keovoravongsa is a Behavior Technician in Fairfield, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

275 Beck Ave
Fairfield, CA 94533-6804
Phone: (707) 784-8849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-54877 (CA)
Adult Companion Taxonomy 372600000X

Record details

NPI number1992294177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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