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

Kelly Sudol

Individual provider Behavior Technician · NPI 1568334167

Kelly Sudol is a Behavior Technician in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

3600 Lime St
Riverside, CA 92501-2971
Phone: (951) 813-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-474595 (CA)

Record details

NPI number1568334167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address3600 Lime St, Riverside, CA 92501-2971

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