IndividualActive
Kendra Gilliam
NPI 1407572555 · Behavior Technician · Stockton, CA
Kendra Gilliam is a Behavior Technician provider in Stockton, CA (NPI 1407572555).
Provider details
- NPI number
- 1407572555
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2453 Grand Canal Blvd Ste a
Stockton, CA 95207-8138
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2022-10-19
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Frequently asked questions
- What is Kendra Gilliam's NPI number?
- Kendra Gilliam's National Provider Identifier (NPI) is 1407572555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendra Gilliam's specialty?
- Kendra Gilliam is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kendra Gilliam located?
- Kendra Gilliam's practice location on file with NPPES is 2453 Grand Canal Blvd Ste a, Stockton, CA 95207-8138.
- What is Kendra Gilliam's phone number?
- The practice phone number listed in the NPPES registry for Kendra Gilliam is (855) 223-7123.
- Is Kendra Gilliam's NPI active?
- Yes — Kendra Gilliam's NPI (1407572555) is active in the NPPES registry as of the last update on 2022-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.