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NPI Code Detail

MEDICARE: ERIKA KAGAHASTIAN

MEDICARE:   ERIKA  KAGAHASTIAN
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 Technician

General Provider Information

NPI Number : 1821534165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA KAGAHASTIAN
Provider Business Mailing Address
First Line : 5822 28TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-3310
Country : US
Telephone Number : 727-307-1172
Fax Number :
Provider Business Practice Location Address
First Line : 5822 28TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33710-3310
Country : US
Telephone Number : 727-307-1172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 01/10/2017

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Directions to “ ERIKA KAGAHASTIAN ” Practice Location

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