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NPI Code Detail

MEDICARE: KARI LYNN KACAL BCBA

MEDICARE: KARI LYNN KACAL BCBA
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 Analyst1-04-1542TX

General Provider Information

NPI Number : 1598089963
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI LYNN KACAL BCBA
Provider Business Mailing Address
First Line : 3006 BEECAVES RAOD
Second Line : SUITE B200
City : AUSTIN
State : TX
Zip : 78746-6751
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3006 BEECAVES ROAD
Second Line : SUITE B200
City : AUSTIN
State : TX
Zip : 78746-6751
Country : US
Telephone Number : 512-328-5599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2010
Last Update Date : 03/15/2010

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