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NPI Code Detail

MEDICARE: MRS. KASHANTA MICHELLE MUHAMMAD

MEDICARE: MRS. KASHANTA MICHELLE MUHAMMAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-22-219489GA

General Provider Information

NPI Number : 1194467092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KASHANTA MICHELLE MUHAMMAD
Provider Business Mailing Address
First Line : 1150 3RD ST SW APT 169
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3929
Country : US
Telephone Number : 470-535-3903
Fax Number :
Provider Business Practice Location Address
First Line : 4222 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-1628
Country : US
Telephone Number : 863-456-7148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 09/22/2025

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