Individual provider · Type 1 NPI

Kaysha Farala

Student in an Organized Health Care Education/Training Program · Victorville, CA

NPI number 1285307421 Active

Practice location

15400 Cholame Rd
Victorville, CA 92392-2480

Mailing address

2155 Chicago Ave Ste 203
Riverside, CA 92507-2209

Other practice locations

  • 2155 Chicago Ave Ste 203, Riverside, CA 92507-2209 · (951) 357-6926

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

19 other providers at this address

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About NPI 1285307421

Kaysha Farala's National Provider Identifier is 1285307421, issued on Jul 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victorville, CA. The record was last updated on Dec 27, 2023.