MEDICARE: KENNETH MEYER

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	RBT-24-357037	CA

General Provider Information

NPI Number	:	1366385627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH MEYER

Provider Business Mailing Address
First Line	:	8812 LA RIVIERA DR UNIT B
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-6009
Country	:	US
Telephone Number	:	530-990-0962
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 HOSPITAL DR STE 102
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5405
Country	:	US
Telephone Number	:	866-227-1211
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ KENNETH MEYER ” Practice Location

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