MEDICARE: KAI WYNTER

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

General Provider Information

NPI Number	:	1760321939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAI WYNTER

Provider Business Mailing Address
First Line	:	325 W ADAMS BLVD APT 7110
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90007-2659
Country	:	US
Telephone Number	:	845-554-6170
Fax Number	:

Provider Business Practice Location Address
First Line	:	1372 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3248
Country	:	US
Telephone Number	:	877-264-6747
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ KAI WYNTER ” Practice Location

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