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

Individual provider Behavior Technician · NPI 1720626997

Stacey Lee Wine-Kaiser is a Behavior Technician in Fresno, California. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

5140 N Fruit Ave
Fresno, CA 93711-3022
Phone: (510) 652-7445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2354 Powell St, Emeryville, CA 94608-1738 — (510) 652-7445

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720626997
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019
Mailing address2354 Powell St, Emeryville, CA 94608-1738

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