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

Kelcie Domino Kerdoon

Individual provider Behavior Technician · NPI 1598435448

Kelcie Domino Kerdoon is a Behavior Technician in Garden Grove, California. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Phone: (855) 223-7123
Fax: (619) 374-7134
Show map & directions

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

Additional practice locations (1)

  • 5312 Bolsa Ave Ste 105, Huntington Beach, CA 92649-1060 — (818) 241-6780

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1598435448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

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