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Kallie Provencher, BCBA
NPI 1447856950 · Behavior Analyst · Stockton, CA
Kallie Provencher, BCBA is a Behavior Analyst provider in Stockton, CA (NPI 1447856950).
Provider details
- NPI number
- 1447856950
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
Fax: (866) 500-2186
Street-level locationGet directions
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Additional practice locations (1)
- 1200 Concord Ave Ste 100Concord, CA 94520-4969Phone: (510) 934-3398
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Frequently asked questions
- What is Kallie Provencher's NPI number?
- Kallie Provencher's National Provider Identifier (NPI) is 1447856950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kallie Provencher's specialty?
- Kallie Provencher is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Kallie Provencher located?
- Kallie Provencher's practice location on file with NPPES is 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107.
- What is Kallie Provencher's phone number?
- The practice phone number listed in the NPPES registry for Kallie Provencher is (877) 418-2978.
- Is Kallie Provencher's NPI active?
- Yes — Kallie Provencher's NPI (1447856950) is active in the NPPES registry as of the last update on 2023-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.