Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184322554 Individual Practitioner Female Practitioner

Kylee Liddle

Rehabilitation Practitioner • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Kylee Liddle is a registered healthcare professional specializing in Rehabilitation Practitioner in Vallejo, CA. Practice services are available at 160 GLEN COVE MARINA RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

160 Glen Cove Marina Rd E

Vallejo, CA 945917290

Telephone 7076482000

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Vallejo, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-24
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Ike Davis

Counselor - Mental Health

NPI 1023764594
Azra Mirza

Community Health Worker

NPI 1043084486
Perless Jefferson

Day Training/Habilitation Specialist

NPI 1073312377
NPI 1124207964

Master of Social Work

Chaliss Kirkendoll

Rehabilitation Practitioner

NPI 1144939802
Jazzmon Crawford

Day Training/Habilitation Specialist

NPI 1205784097

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 24, 2026

Registered at 160 GLEN COVE MARINA RD E, VALLEJO, CA 945917290 (Tel: 7076482000)

📍
Updated Business Mailing Address April 24, 2026

Registered at 160 GLEN COVE MARINA RD E, VALLEJO, CA 945917290

NPI Profile Active February 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2023

Registered at 11501 DUBLIN BLVD STE 200, DUBLIN, CA 945682827 (Tel: 9254076108)

📍
Updated Business Mailing Address February 15, 2023

Registered at 11501 DUBLIN BLVD STE 200, DUBLIN, CA 945682827

👤
Provider Name / Credentials Updated February 15, 2023

Recorded as KYLEE LIDDLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2023

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184322554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2023
Last Update: April 24, 2026
Sole Proprietor: No

Mailing Address

160 Glen Cove Marina Rd E

Vallejo, CA 945917290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.