Provider Demographics
NPI:1922543552
Name:NARAYAN, KALVIN (BED)
Entity Type:Individual
Prefix:MR
First Name:KALVIN
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:M
Credentials:BED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4863 DESPERADO DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-4009
Mailing Address - Country:US
Mailing Address - Phone:951-786-8723
Mailing Address - Fax:
Practice Address - Street 1:4863 DESPERADO DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-4009
Practice Address - Country:US
Practice Address - Phone:951-786-8723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician