MEDICARE: JAMES KAISER

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	1-24-77577	CA

General Provider Information

NPI Number	:	1447751516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES KAISER

Provider Business Mailing Address
First Line	:	5850 GRANITE PKWY
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6748
Country	:	US
Telephone Number	:	469-694-1754
Fax Number	:

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR STE 305
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3431
Country	:	US
Telephone Number	:	818-614-3365
Fax Number	:

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

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	12/02/2024

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