MEDICARE: KARINA SEVESIND

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	:	1053274951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA SEVESIND

Provider Business Mailing Address
First Line	:	6426 W 5TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4710
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9120 W OLYMPIC BLVD
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3508
Country	:	US
Telephone Number	:	909-670-6898
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ KARINA SEVESIND ” Practice Location

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