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NPI Code Detail

MEDICARE: CHRISTY KANESHIGE

MEDICARE: CHRISTY KANESHIGE
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 : 1447118260
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY KANESHIGE
Provider Business Mailing Address
First Line : 295 89TH ST STE 306
Second Line :
City : DALY CITY
State : CA
Zip : 94015-1656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2525 CAMINO DEL RIO S STE 335
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3743
Country : US
Telephone Number : 877-264-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ CHRISTY KANESHIGE ” Practice Location

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