Individual
KATELYN WILCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 EAST ST, GOLDEN, CO 80403-1931
(609) 575-9617
Mailing address
400 EAST ST, GOLDEN, CO 80403-1931
(609) 575-9617
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-17-36315
—
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/25/2016
Last updated
08/24/2021
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