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NPI Code Detail

MEDICARE: KATRINA CHRISTINE MARES BCBA, LBA

MEDICARE:   KATRINA CHRISTINE MARES  BCBA, LBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1588093363
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA CHRISTINE MARES BCBA, LBA
Provider Business Mailing Address
First Line : 3012 27TH AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199
Country : US
Telephone Number : 707-616-5212
Fax Number :
Provider Business Practice Location Address
First Line : 3012 27TH AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199
Country : US
Telephone Number : 707-616-5212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2013
Last Update Date : 10/17/2022

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Directions to “ KATRINA CHRISTINE MARES BCBA, LBA” Practice Location

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