MEDICARE: KALIA PRESCOTT

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1013861640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALIA PRESCOTT

Provider Business Mailing Address
First Line	:	2510 QUEENSBERRY RD APT 6
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-3443
Country	:	US
Telephone Number	:	805-377-8915
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 QUEENSBERRY RD APT 6
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-3443
Country	:	US
Telephone Number	:	805-377-8915
Fax Number	:

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

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ KALIA PRESCOTT ” Practice Location

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