MEDICARE: KESLIN AUGUSTIN

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		CO

General Provider Information

NPI Number	:	1285577064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESLIN AUGUSTIN

Provider Business Mailing Address
First Line	:	6700 E SPEEDWAY BLVD STE 401
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	720-305-1761
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 E SPEEDWAY BLVD STE 401
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	720-305-1761
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ KESLIN AUGUSTIN ” Practice Location

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