Most Relevant Information
Provider Data
| NPI Number: | 1003449299 |
| Provider Name: | KATELYNN PARKER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/17/2020 |
| Last Updated: | 02/17/2020 |
Provider Practice Location
584 E BELLEVUE RD
ATWATER
CA
953012300
Practice Location Phone/Fax
| Phone: | 5597472177 |
| Fax: |
Provider Mailing Location
584 E BELLEVUE RD
ATWATER
CA
953012300
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |