MEDICARE: GITTI KAHAN

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	103K00000X	Behavior Analyst		CO

General Provider Information

NPI Number	:	1689524613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GITTI KAHAN

Provider Business Mailing Address
First Line	:	9 BARNEGAT LN
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3229
Country	:	US
Telephone Number	:	470-809-6856
Fax Number	:

Provider Business Practice Location Address
First Line	:	6760 CORPORATE DR FL 1
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1985
Country	:	US
Telephone Number	:	470-809-6856
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ GITTI KAHAN ” Practice Location

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