MEDICARE: KASEY MARGARET WESTON 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
1	103K00000X	Behavior Analyst	BACB329058	MI

General Provider Information

NPI Number	:	1922656750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY MARGARET WESTON BCBA

Provider Business Mailing Address
First Line	:	1500 S DOUGLAS RD STE 230
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4108
Country	:	US
Telephone Number	:	844-854-1116
Fax Number	:	305-846-9711

Provider Business Practice Location Address
First Line	:	600 3 MILE RD NW, SUITE 200
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49544-1691
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	03/05/2026

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