Kasey K Aikens

Individual provider Active NPI Behavior Technician · Fairfield, CA

NPI 1083205405 · NPPES record last updated Jan 28, 2021

Key facts

NPI
1083205405
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
801 Jefferson St Ste 4&35&6
Fairfield, CA 94533-5557
Phone
(855) 223-7123
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

801 Jefferson St Ste 4&35&6
Fairfield, CA 94533-5557

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (619) 550-6368

Other providers in Fairfield, CA

All providers in Fairfield, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.