Individual
KATELYN JANE POTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8428 WEMBLEY, THE COLONY, TX 75056-3579
(586) 804-4578
Mailing address
8428 WEMBLEY, THE COLONY, TX 75056-3579
(586) 804-4578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-89542
TX
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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