Individual
KATHARINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 OAK WAY AVE, GLENWOOD SPRINGS, CO 81601-4049
(720) 670-9046
(720) 294-0543
Mailing address
1309 OAK WAY AVE, GLENWOOD SPRINGS, CO 81601-4049
(201) 414-4303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37557
CO
106S00000X
Behavior Technician
18-57188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W214517781
AETNA
—
Enumeration date
06/25/2018
Last updated
08/06/2021
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