MEDICARE: JAMIN CATES

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1932063864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIN CATES

Provider Business Mailing Address
First Line	:	PO BOX 823
Second Line	:
City	:	ATHOL
State	:	ID
Zip	:	83801-0823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7905 N MEADOWLARK WAY
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-5041
Country	:	US
Telephone Number	:	208-762-1250
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ JAMIN CATES ” Practice Location

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