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Individual

KATELYNN MARIE KOMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2509 WOOTEN BLVD SW, WILSON, NC 27893-4426
(919) 375-0475
Mailing address
4903 SAINT GEORGES DR N, WILSON, NC 27896-9181
(330) 716-2685

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1615
NC
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
03/04/2020
Last updated
03/16/2026
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