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

Carly Ly

Individual provider Behavior Technician · NPI 1114757416

Carly Ly is a Behavior Technician in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1880 Fairway Dr
San Leandro, CA 94577-5629
Phone: (916) 729-3098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1114757416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address2225 7th Ave Apt 31, Oakland, CA 94606-1982

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