Provider Demographics
NPI:1629930920
Name:ORLICK, KAYDENCE VICTORIA
Entity type:Individual
Prefix:MS
First Name:KAYDENCE
Middle Name:VICTORIA
Last Name:ORLICK
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 1:622 AVONDALE LN
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-7118
Mailing Address - Country:US
Mailing Address - Phone:816-535-7379
Mailing Address - Fax:
Practice Address - Street 1:622 AVONDALE LN
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-7118
Practice Address - Country:US
Practice Address - Phone:816-535-7379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician