MEDICARE: KASARA KINKA ANN ROBINSON

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-26-518016	GA

General Provider Information

NPI Number	:	1487589842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASARA KINKA ANN ROBINSON

Provider Business Mailing Address
First Line	:	621 STEPHENSON AVE
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5970
Country	:	US
Telephone Number	:	402-850-1136
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 STEPHENSON AVE
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5970
Country	:	US
Telephone Number	:	402-850-1136
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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