MEDICARE: KESSRA FAY MESTRE-NAJI

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1306795216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KESSRA FAY MESTRE-NAJI

Provider Business Mailing Address
First Line	:	1701 BUTLER AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4101
Country	:	US
Telephone Number	:	440-554-0837
Fax Number	:

Provider Business Practice Location Address
First Line	:	15300 VENTURA BLVD STE 503A
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-5842
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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