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

Kirsten Mae Gannon

Individual provider Behavior Technician · NPI 1699638197

Kirsten Mae Gannon is a Behavior Technician in Manteca, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

115 N Walnut Ave
Manteca, CA 95337-4431
Phone: (209) 610-3736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6701 Koll Center Pkwy Ste 250, Pleasanton, CA 94566-8062 — (510) 903-1167

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1699638197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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