Provider Demographics
NPI:1316838162
Name:BELL, KEARA MICHELLE
Entity type:Individual
Prefix:
First Name:KEARA
Middle Name:MICHELLE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N TULLY RD APT E138
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-6852
Mailing Address - Country:US
Mailing Address - Phone:209-427-7204
Mailing Address - Fax:
Practice Address - Street 1:3224 MCHENRY AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-1400
Practice Address - Country:US
Practice Address - Phone:209-900-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician