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

Kyle Robert Bradshaw Daugherty

Individual provider Behavior Technician · NPI 1164035135

Kyle Robert Bradshaw Daugherty is a Behavior Technician in Sparks, Nevada. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

300 Los Altos Pkwy Ste 109
Sparks, NV 89436-7754
Phone: (775) 996-3890
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 number1164035135
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020
Mailing address15130 Western Springs Dr, Reno, NV 89521-8313

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