Provider Demographics
NPI:1417527714
Name:HUNT, KALLI ETTA (BCBA)
Entity type:Individual
Prefix:MS
First Name:KALLI
Middle Name:ETTA
Last Name:HUNT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-0096
Mailing Address - Country:US
Mailing Address - Phone:910-301-0281
Mailing Address - Fax:
Practice Address - Street 1:1791 E BROAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4972
Practice Address - Country:US
Practice Address - Phone:910-301-0281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst