Individual
KATELYNNE KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-188875
AZ
253J00000X
Foster Care Agency
Primary
—
AZ
385HR2055X
Child Mental Illness Respite Care
—
AZ
Other
Enumeration date
10/14/2021
Last updated
03/02/2026
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