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NPI Code Detail

MEDICARE: KAELA FOSS

MEDICARE: KAELA FOSS
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 : 1588440614
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAELA FOSS
Provider Business Mailing Address
First Line : 445 E DUBLIN GRANVILLE RD
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-3192
Country : US
Telephone Number : 419-651-7852
Fax Number :
Provider Business Practice Location Address
First Line : 4891 E COUNTY LINE RD
Second Line :
City : MINERAL RIDGE
State : OH
Zip : 44440-9411
Country : US
Telephone Number : 614-844-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2023
Last Update Date : 12/04/2025

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Directions to “ KAELA FOSS ” Practice Location

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