Individual
KATELYN H ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
7599 BETH BATH PIKE, BATH, PA 18014
(610) 365-8989
(610) 365-8994
Mailing address
7599 BETH BATH PIKE, BATH, PA 18014
(610) 365-8373
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH000169
BEHAVIOR SPECIALIST
PA
Enumeration date
07/25/2014
Last updated
03/25/2022
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