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NPI Code Detail

MEDICARE: WINTANA KAHSAI

MEDICARE:   WINTANA  KAHSAI
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 TechnicianRBT-26-520000TX

General Provider Information

NPI Number : 1770430688
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINTANA KAHSAI
Provider Business Mailing Address
First Line : 6873 CAPE COD DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75054-6826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6873 CAPE COD DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75054-6826
Country : US
Telephone Number : 817-899-2087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ WINTANA KAHSAI ” Practice Location

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