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

Individual provider Behavior Technician · NPI 1811480379

Katie Marie-Nyla Peckham is a Behavior Technician in Fresno, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

693 W Bullard Ave
Fresno, CA 93704-1607
Phone: (559) 916-2813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1730 W Walnut Ave, Visalia, CA 93277-6233 — (559) 825-8455

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1811480379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2018
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

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