Kadiant PNW LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KADIANT PNW LLC

Practice address

720 SE 160TH Ave
Ste 103 #154
Vancouver, WA 98684-8912

Phone

(866) 523-4268

NPI assigned

Sep 29, 2023

Organization subpart

No

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

Authorized official

Name

Brenda Kulik

Title

Contracting Specialist

Phone

(732) 375-0420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1548040421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWBIN AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE 160TH AVE",
            "address_2": "STE 103 #154",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848912",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 SW Marlow Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255102",
            "country_code": "US",
            "telephone_number": "866-523-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KADIANT PNW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "KULIK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "732-375-0420"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil B Kabrawala, M.D.
• Thuy Lien Kabza, LMP
• Lara Kacherian, DDS
• Ihor Kachula, LMT
• Alina Kadeneva
• Brody Kadow
• Rosemarie Kadow
• Terrald S. Kadrmas, M.S., P.T.
• Shannon Kaelene, MRET CHT LMP
• Emily Kaemmerlen, DPT

• Behavior Analyst in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.