Provider Demographics
NPI:1609322734
Name:YUE, KAYLI PRPICH (BCBA)
Entity Type:Individual
Prefix:
First Name:KAYLI
Middle Name:PRPICH
Last Name:YUE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23701 BIRTCHER DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1772
Mailing Address - Country:US
Mailing Address - Phone:855-581-0100
Mailing Address - Fax:818-241-6853
Practice Address - Street 1:23701 BIRTCHER DR
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1772
Practice Address - Country:US
Practice Address - Phone:855-581-0100
Practice Address - Fax:818-241-6853
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-22184103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst