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NPI Code Detail

MEDICARE: KRISTINE MCNAMEE BCBA

MEDICARE: KRISTINE MCNAMEE BCBA
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
1103K00000XBehavior Analyst11416734CA

General Provider Information

NPI Number : 1548675887
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE MCNAMEE BCBA
Provider Business Mailing Address
First Line : 1901 ROYAL OAKS DR STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4235
Country : US
Telephone Number : 916-923-1789
Fax Number : 916-923-1169
Provider Business Practice Location Address
First Line : 1901 ROYAL OAKS DR STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4235
Country : US
Telephone Number : 916-923-1789
Fax Number : 916-923-1169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2014
Last Update Date : 06/25/2014

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