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

Kimberly J Nutall

Individual provider Behavior Technician · NPI 1790646164

Kimberly J Nutall is a Behavior Technician in Ceres, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2916 Joy Ave
Ceres, CA 95307-2813
Phone: (209) 604-3186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1790646164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address1075 Creekside Ridge Dr Ste 280, Roseville, CA 95678-3504

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