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NPI Code Detail

MEDICARE: AKANI CAITLIN PASIGAN

MEDICARE: AKANI CAITLIN PASIGAN
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 Technician

General Provider Information

NPI Number : 1366073181
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKANI CAITLIN PASIGAN
Provider Business Mailing Address
First Line : 239 S ROCK RIVER RD
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 W KIMBERLY AVE STE 125
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6346
Country : US
Telephone Number : 714-415-8918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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Directions to “ AKANI CAITLIN PASIGAN ” Practice Location

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