MEDICARE: TAYLOR NAKASE

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

General Provider Information

NPI Number	:	1285135046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR NAKASE

Provider Business Mailing Address
First Line	:	4719 VIEWRIDGE AVE STE 100
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1685
Country	:	US
Telephone Number	:	866-727-8274
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 S EL CAMINO REAL STE 220
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6376
Country	:	US
Telephone Number	:	619-782-0700
Fax Number	:

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

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	08/07/2025

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Directions to “ TAYLOR NAKASE ” Practice Location

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