Kayla Andersen

Behavior Technician · San Rafael, CA

Individual Active NPI

NPI number 1639796147

Practice location

4000 Civic Center Dr Ste 300
San Rafael, CA 94903-4129
Phone
(628) 877-0040

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NPI record

NPI
1639796147
Entity type
Individual (Type 1)
Enumeration date
June 30, 2020
Last updated
June 30, 2020
Certified
June 30, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1936 Granite Valley Way
Petaluma, CA 94954-1842

About Kayla Andersen

Kayla Andersen is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4000 Civic Center Dr Ste 300, San Rafael, CA 94903-4129. The NPI number 1639796147 was assigned on June 30, 2020 and the record was last updated on June 30, 2020.

Frequently asked questions

What is the NPI number of Kayla Andersen?

The NPI number is 1639796147.

What is the phone number of Kayla Andersen?

The phone number listed for the practice location is (628) 877-0040.

Where is Kayla Andersen located?

4000 Civic Center Dr Ste 300, San Rafael, CA 94903-4129.

What is the taxonomy code for Kayla Andersen?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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