Individual
KAITLYN JENIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA, CNA, DA, CPT
Contact information
Practice address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
Mailing address
15 CLEARVIEW AVE APT 2, WORCESTER, MA 01605-1366
(774) 280-8665
(671) 203-7891
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/23/2026
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