Katherine D Wiedemann, MAT, BCBA
Behavior Analyst in Cranford, New Jersey
1932473675- Practice location
- 235 Birchwood Ave Apt 105, Cranford, NJ 07016-2544
- Phone
- 973-229-4911
- Fax
- —
- Last updated
- August 22, 2023
Katherine Decotiis Wiedemann is a Behavior Analyst based in Cranford, NJ. Katherine Decotiis Wiedemann practices in Cranford, NJ and has the professional credentials of MAT, BCBA. The NPI Number for Katherine Decotiis Wiedemann is 1932473675 and holds a License No. 1-11-9474 (NJ). The current practice location address for Katherine Decotiis Wiedemann is 235 Birchwood Ave Apt 105, Cranford, NJ 07016-2544 and can be reached out via phone at 973-229-4911.
Provider Profile Details
- NPI Number
- 1932473675
- Provider Name
- Katherine Decotiis Wiedemann
- Credential
- MAT, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 235 Birchwood Ave Apt 105, Cranford, NJ 07016-2544
- Phone Number
- 973-229-4911
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Other Names
- Katherine Elizabeth Decotiis, MAT, BCBA (Former Name)
- Provider Enumeration Date
- February 27, 2012
- Last Update Date
- August 22, 2023
- Certification Date
- August 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 235 Birchwood Ave Apt 105
Cranford, NJ 07016-2544 - City
- Cranford
- State
- New Jersey
- Zip
- 07016-2544
- Phone Number
- 973-229-4911
Provider Business Mailing Address Details
- Address
- 235 Birchwood Ave Apt 105
Cranford, NJ 07016-2544 - City
- Cranford
- State
- NJ
- Zip
- 07016-2544
- Phone Number
- 973-229-4911
License Information
- License Number
- 1-11-9474
- License State
- NJ
- 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 Katherine D Wiedemann, MAT, BCBA?
The NPI number of Katherine D Wiedemann, MAT, BCBA is 1932473675. It was assigned on February 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Katherine D Wiedemann, MAT, BCBA?
Katherine D Wiedemann, MAT, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-11-9474.
Where does Katherine D Wiedemann, MAT, BCBA practice?
The practice location is 235 Birchwood Ave Apt 105, Cranford, NJ 07016-2544. The office can be reached at 973-229-4911 (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 1932473675 directly on the NPPES registry website.