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NPI Code Detail

MEDICARE: KATRINA BUKOWSKI

MEDICARE: KATRINA BUKOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianTX
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1326701806
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA BUKOWSKI
Provider Business Mailing Address
First Line : 9314 RYDER DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15140 BADGER RANCH BLVD STE 301&302
Second Line :
City : WOODWAY
State : TX
Zip : 76712-8983
Country : US
Telephone Number : 210-447-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2021
Last Update Date : 01/07/2026

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Directions to “ KATRINA BUKOWSKI ” Practice Location

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