Individual
MS. KATELYNN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28622 RIDGEWAY RD, SWEET HOME, OR 97386-9523
(541) 730-8500
Mailing address
28622 RIDGEWAY RD, SWEET HOME, OR 97386-9523
(541) 730-8500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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