Provider Demographics
NPI:1255213963
Name:KIRKLAND, LIVIER C (BT)
Entity type:Individual
Prefix:
First Name:LIVIER
Middle Name:C
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:BT
Other - Prefix:MR
Other - First Name:LIVIER
Other - Middle Name:C
Other - Last Name:KIRKLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NA
Mailing Address - Street 1:631 RIVER OAKS PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1907
Mailing Address - Country:US
Mailing Address - Phone:408-914-3851
Mailing Address - Fax:
Practice Address - Street 1:631 RIVER OAKS PKWY # A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1907
Practice Address - Country:US
Practice Address - Phone:408-401-3173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician