Provider Information

Last Updated : Sep 3 2025 11:08 AM

Kelly Loeuth




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Loeuth
First Name
Kelly
Address
530 E. Herndon Ave. Ste 105
State
CA
Zip Code
93720
Phone
(855)223-7123
Hours
Mon - Fri 8:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
Gender
F
Title
BCBA
Physician ID
917845
Language 1
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1306384714
License ID
UNK66909
Board Certified
No
Panel Status
Available by referral only

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