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

Katelyn Sidamrong

Individual provider Behavior Technician · NPI 1174449045

Katelyn Sidamrong is a Behavior Technician in Clovis, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1420 Shaw Ave Ste 105
Clovis, CA 93611-4072
Phone: (559) 314-0623
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence Y9573509 (CA)

Record details

NPI number1174449045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address3347 E Cornell Ave, Fresno, CA 93703-1315

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