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NPI Code Detail

MEDICARE: KAITLYN ZULEMA VERDUGO

MEDICARE: KAITLYN ZULEMA VERDUGO
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior TechnicianCA
3106H00000XMarriage & Family TherapistAMFT161214CA
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437889490
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN ZULEMA VERDUGO
Provider Business Mailing Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number :
Provider Business Practice Location Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 04/06/2026

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Directions to “ KAITLYN ZULEMA VERDUGO ” Practice Location

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