Kira Nicole Kakudo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

Y4961976 Issued in CA

Practice address

9701 Dino Dr Ste 170
Elk Grove, CA 95624-4042

Phone

(916) 892-0013

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1184257974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 DINO DR STE 170",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244042",
            "telephone_number": "916-892-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKUDO",
        "first_name": "KIRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y4961976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pardeep Kahlon, M.D.
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #301)
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #303)
• Kaiser Permanente
• Taylor Kaiser
• Amrita Singh Kaler, O.D.
• Karamjit Kalkat, MFT
• Mirabelle Claudine Kamdjio Miyo
• Pacasie Kamikazi
• Cristian Keoni Kanae, DPT

• Behavior Analyst in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.