Provider Demographics
NPI:1699252346
Name:MEINERT, KAELYN BROOKE
Entity type:Individual
Prefix:
First Name:KAELYN
Middle Name:BROOKE
Last Name:MEINERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15048 14TH ST
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523-2503
Mailing Address - Country:US
Mailing Address - Phone:352-232-8997
Mailing Address - Fax:
Practice Address - Street 1:15048 14TH ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-2503
Practice Address - Country:US
Practice Address - Phone:352-232-8997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst