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NPI Code Detail

MEDICARE: KATELYN SHORTES

MEDICARE: KATELYN SHORTES
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 Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1598373920
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN SHORTES
Provider Business Mailing Address
First Line : 7160 PRESTON RD STE 200
Second Line :
City : PLANO
State : TX
Zip : 75024-3283
Country : US
Telephone Number : 972-850-0896
Fax Number : 972-850-0295
Provider Business Practice Location Address
First Line : 7160 PRESTON RD STE 200
Second Line :
City : PLANO
State : TX
Zip : 75024-3283
Country : US
Telephone Number : 972-850-0896
Fax Number : 972-850-0295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2020
Last Update Date : 02/16/2023

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Directions to “ KATELYN SHORTES ” Practice Location

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