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

Kalan Lis

Individual provider Behavior Technician · NPI 1699137455

Kalan Lis is a Behavior Technician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone: (904) 830-0020
Fax: (706) 780-1705
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1699137455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address959 17th St Ste B, Columbus, GA 31901-1984

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