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NPI Code Detail

MEDICARE: AMY CHOOKIATSIRICHAI

MEDICARE: AMY CHOOKIATSIRICHAI
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1477422251
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CHOOKIATSIRICHAI
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE
Second Line :
City : GARDENA
State : CA
Zip : 90248-3813
Country : US
Telephone Number :
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 13601 80TH CIR N STE 200
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-9801
Country : US
Telephone Number : 612-594-8405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2025
Last Update Date : 10/31/2025

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Directions to “ AMY CHOOKIATSIRICHAI ” Practice Location

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