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NPI Code Detail

MEDICARE: KAITLYN MICHELE KOCSES MS, BCBA

MEDICARE: KAITLYN MICHELE KOCSES MS, 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 Analyst1-26-87120NJ

General Provider Information

NPI Number : 1750016291
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN MICHELE KOCSES MS, BCBA
Provider Business Mailing Address
First Line : 55 GROVE ST APT 103
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-3710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 FOREST CT
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2514
Country : US
Telephone Number : 973-722-9693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2022
Last Update Date : 03/06/2026

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