Provider Demographics
NPI:1346826195
Name:KADIANT
Entity Type:Organization
Organization Name:KADIANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL TECH
Authorized Official - Prefix:
Authorized Official - First Name:KIARA
Authorized Official - Middle Name:YAMILET
Authorized Official - Last Name:GAYTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-787-9334
Mailing Address - Street 1:PO BOX 399318
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-9318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3745 LONG BEACH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3340
Practice Address - Country:US
Practice Address - Phone:310-787-9334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty