Katelyn R Hendrickson, MED, BCBA
Behavior Analyst in Sparta, New Jersey
1831939396- Practice location
- 270 Sparta Ave, Sparta, NJ 07871-1122
- Phone
- 570-351-5001
- Fax
- —
- Last updated
- May 30, 2024
Katelyn R Hendrickson is a Behavior Analyst based in Sparta, NJ. Katelyn R Hendrickson practices in Sparta, NJ and has the professional credentials of MED, BCBA. The NPI Number for Katelyn R Hendrickson is 1831939396 and holds a License No. 12369696 (CO). The current practice location address for Katelyn R Hendrickson is 270 Sparta Ave, Sparta, NJ 07871-1122 and can be reached out via phone at 570-351-5001.
Provider Profile Details
- NPI Number
- 1831939396
- Provider Name
- Katelyn R Hendrickson
- Credential
- MED, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 270 Sparta Ave, Sparta, NJ 07871-1122
- Phone Number
- 570-351-5001
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 30, 2024
- Last Update Date
- May 30, 2024
- Certification Date
- May 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 270 Sparta Ave
Sparta, NJ 07871-1122 - City
- Sparta
- State
- New Jersey
- Zip
- 07871-1122
- Phone Number
- 570-351-5001
Provider Business Mailing Address Details
- Address
- 110 Bald Hill Ter
Milford, PA 18337-4024 - City
- Milford
- State
- PA
- Zip
- 18337-4024
- Phone Number
- 570-832-3212
License Information
- License Number
- 12369696
- License State
- CO
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Katelyn R Hendrickson, MED, BCBA?
The NPI number of Katelyn R Hendrickson, MED, BCBA is 1831939396. It was assigned on May 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Katelyn R Hendrickson, MED, BCBA?
Katelyn R Hendrickson, MED, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CO under license number 12369696.
Where does Katelyn R Hendrickson, MED, BCBA practice?
The practice location is 270 Sparta Ave, Sparta, NJ 07871-1122. The office can be reached at 570-351-5001 (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 1831939396 directly on the NPPES registry website.