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

Kelly Dormer

Individual provider Behavior Technician · NPI 1396409793

Kelly Dormer is a Behavior Technician in Covina, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1274 Center Court Dr Ste 211
Covina, CA 91724-3668
Phone: (626) 339-4999
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 number1396409793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 22, 2021
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537

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