MEDICARE: KADIANT PATHFINDER

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	0-15-6519	OH
2	103K00000X	Behavior Analyst	1-09-5335	OH

General Provider Information

NPI Number	:	1124407572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KADIANT PATHFINDER

Provider Business Mailing Address
First Line	:	PO BOX 399318
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94139-9318
Country	:	US
Telephone Number	:	866-523-4268
Fax Number	:

Provider Business Practice Location Address
First Line	:	3070 RIVERSIDE DR STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2547
Country	:	US
Telephone Number	:	866-523-4268
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	TORI BEJAR
Credential	:
Telephone Number	:	623-444-2169

Provider Enumeration Date	:	05/19/2015
Last Update Date	:	12/07/2020

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Directions to “KADIANT PATHFINDER ” Practice Location

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