Individual
KATARINA FOOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS, BCBA
Contact information
Practice address
1407 WILLIAMS RD, YORK, PA 17402-9000
(717) 845-2482
(717) 843-2170
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003426
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14689243
CAQH
—
01
—
BH003426
STATE LICENSE
PA
Enumeration date
05/21/2020
Last updated
11/28/2022
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