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NPI Code Detail

MEDICARE: AMANJOT KAUR

MEDICARE:   AMANJOT  KAUR
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 Technician
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1316516941
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANJOT KAUR
Provider Business Mailing Address
First Line : 2105 W MARCH LN STE 2
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2105 W MARCH LN STE 2
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6422
Country : US
Telephone Number : 209-817-2998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2021
Last Update Date : 08/07/2025

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Directions to “ AMANJOT KAUR ” Practice Location

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