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NPI Code Detail

MEDICARE: ANDREA KARASEK

MEDICARE: ANDREA KARASEK
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 TechnicianRBT-20-146810CA
2103K00000XBehavior Analyst1-24-74100CA

General Provider Information

NPI Number : 1174129175
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA KARASEK
Provider Business Mailing Address
First Line : 13 WRIGHT AVE
Second Line :
City : CORONADO
State : CA
Zip : 92118-5008
Country : US
Telephone Number : 619-289-5491
Fax Number :
Provider Business Practice Location Address
First Line : 1177 BROADWAY STE 6
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-2770
Country : US
Telephone Number : 619-314-5882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2020
Last Update Date : 05/19/2025

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Directions to “ ANDREA KARASEK ” Practice Location

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