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

Khameelah Destiny Bonner, LPT

Individual provider Licensed Psychiatric Technician · NPI 1871444158

Khameelah Destiny Bonner, LPT is a Licensed Psychiatric Technician in Stockton, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1414 N California St
Stockton, CA 95202-1515
Phone: (209) 468-6820
Show map & directions

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

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 43121 (CA)

Record details

NPI number1871444158
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorNo
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

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