Individual
KATELYN ELISE SOCHANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1000 E PARIS AVE SE STE 160, GRAND RAPIDS, MI 49546-8313
(616) 914-3854
Mailing address
2142 TREMONT BLVD NW, GRAND RAPIDS, MI 49504-4757
(616) 914-3854
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001180
MI
106S00000X
Behavior Technician
RTB-17-40223
MI
Other
Enumeration date
04/17/2018
Last updated
12/15/2022
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