Individual
KATELIN ELIZABETH RENEE KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
6635 E 21ST ST, INDIANAPOLIS, IN 46219-2254
(317) 608-2824
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47516
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300047609
—
IN
Enumeration date
08/11/2020
Last updated
12/07/2022
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