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NPI Code Detail

MEDICARE: AMANDA KUZAVA

MEDICARE: AMANDA KUZAVA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1073288841
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KUZAVA
Provider Business Mailing Address
First Line : 8885 RIO SAN DIEGO DR STE 340
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1669
Country : US
Telephone Number : 619-795-9925
Fax Number : 877-602-5087
Provider Business Practice Location Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 619-795-9925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2021
Last Update Date : 08/12/2021

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Directions to “ AMANDA KUZAVA ” Practice Location

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