Individual
KATHERINE PUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 W. SCHROCK RD, WESTERVILLE, OH 43081
(614) 355-8315
(614) 355-8381
Mailing address
899 E BROAD ST, 3RD FLOOR, COLUMBUS, OH 43205-1156
(614) 355-8000
(614) 355-8018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14673
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
05/23/2008
Last updated
09/07/2017
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