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NPI Code Detail

MEDICARE: SHAYANN CAIRES

MEDICARE: SHAYANN CAIRES
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 Analyst0-23-14814HI

General Provider Information

NPI Number : 1801350624
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYANN CAIRES
Provider Business Mailing Address
First Line : 1200 CONCORD AVE STE 100
Second Line :
City : CONCORD
State : CA
Zip : 94520-4969
Country : US
Telephone Number : 510-268-8120
Fax Number :
Provider Business Practice Location Address
First Line : 1200 CONCORD AVE STE 100
Second Line :
City : CONCORD
State : CA
Zip : 94520-4969
Country : US
Telephone Number : 510-268-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2019
Last Update Date : 12/05/2025

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Directions to “ SHAYANN CAIRES ” Practice Location

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