Individual
KATHERINE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7022 SARDIS RD, CHARLOTTE, NC 28270-6058
(704) 366-8260
Mailing address
7022 SARDIS RD, CHARLOTTE, NC 28270-6058
(704) 999-1882
(704) 366-8210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11624500
—
Other
Enumeration date
01/05/2017
Last updated
05/11/2026
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