Active NPIIndividual providerSole proprietor

Catherine Debroder, BCBA

Behavior Analyst in Winston Salem, North Carolina

NPI Number1063818821
Practice location
804 W Bank St, Winston Salem, NC 27101-5126
Fax
—
Last updated
September 9, 2024

Catherine Debroder is a Behavior Analyst based in Winston Salem, NC. Catherine Debroder practices in Winston Salem, NC and has the professional credentials of BCBA. The NPI Number for Catherine Debroder is 1063818821 and holds a License No. 1466 (NC). The current practice location address for Catherine Debroder is 804 W Bank St, Winston Salem, NC 27101-5126 and can be reached out via phone at 336-416-8266.

Provider Profile Details

NPI Number
1063818821
Provider Name
Catherine Debroder
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
804 W Bank St, Winston Salem, NC 27101-5126
Phone Number
336-416-8266
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Other Names
Catherine C Debroder, BCBA, LBA (Professional Name)
Provider Enumeration Date
November 6, 2014
Last Update Date
September 9, 2024
Certification Date
September 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
804 W Bank St
Winston Salem, NC 27101-5126
Zip
27101-5126
Phone Number
336-416-8266
Winston Salem, NC 27101Get directions →

Provider Business Mailing Address Details

Address
15 South St
Hudson, MA 01749-2205
City
Hudson
State
MA
Zip
01749-2205

License Information

Taxonomy (1)
Early Intervention Provider Agency · 252Y00000X
License Number (2)
1466
License State (2)
NC
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Catherine Debroder, BCBA?

The NPI number of Catherine Debroder, BCBA is 1063818821. It was assigned on November 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Catherine Debroder, BCBA?

Catherine Debroder, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NC under license number 1466.

Where does Catherine Debroder, BCBA practice?

The practice location is 804 W Bank St, Winston Salem, NC 27101-5126. The office can be reached at 336-416-8266 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063818821 directly on the NPPES registry website.

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