Individual
KATELYN PIVONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16201 WEDD ST, OVERLAND PARK, KS 66085-7857
(913) 213-1418
(913) 600-5592
Mailing address
16201 WEDD ST, OVERLAND PARK, KS 66085-7857
(913) 213-1418
(913) 600-5592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-331216
IN
106S00000X
Behavior Technician
Primary
RBT-24-331216
KS
Other
Enumeration date
02/26/2025
Last updated
07/24/2026
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