Individual
KATRINA LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
427 CARLISLE DR, HERNDON, VA 20170-5608
(254) 640-6438
(571) 336-5314
Mailing address
435 CARLISLE DR, HERNDON, VA 20170-5614
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000440
—
106E00000X
Assistant Behavior Analyst
BCBA-02-213570
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-86668
BEHAVIOR ANALYTIC CERTIFICATION BOARD
—
Enumeration date
10/14/2020
Last updated
05/23/2022
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