MEDICARE: NATALIE A KAYSERYAN

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	106S00000X	CA

General Provider Information

NPI Number	:	1558179960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE A KAYSERYAN

Provider Business Mailing Address
First Line	:	3210 W BURBANK BLVD STE B
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2200
Country	:	US
Telephone Number	:	818-638-9586
Fax Number	:

Provider Business Practice Location Address
First Line	:	767 FAIRMONT AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-1038
Country	:	US
Telephone Number	:	323-422-9400
Fax Number	:

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

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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Directions to “ NATALIE A KAYSERYAN ” Practice Location

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