Individual
KATELYN RENEE BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
805 E WASHINGTON ST STE 130, MEDINA, OH 44256-3331
(234) 255-8531
(330) 313-3782
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(281) 826-3382
(425) 491-7683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75349
OH
106S00000X
Behavior Technician
RBT-19-84783
OH
Other
Enumeration date
08/12/2020
Last updated
09/25/2024
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