DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATELYN MATHEWSON

MEDICARE: KATELYN MATHEWSON
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

General Provider Information

NPI Number : 1689508442
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN MATHEWSON
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 301
Second Line :
City : BURBANK
State : CA
Zip : 91505-5025
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 515 E FAIRVIEW AVE BLDG K
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-3040
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1619801461 — ASHLEY SANTILLAN
Practice Location Address:
515 E FAIRVIEW AVE BLDG K
SAN GABRIEL, CA
91776-3040
Practice Phone: 866-727-8274
Practice Fax:
1043142136 — ASHLEY PENNINGTON
Practice Location Address:
515 E FAIRVIEW AVE BLDG K
SAN GABRIEL, CA
91776-3040
Practice Phone: 866-727-8274
Practice Fax:
1801728993 — ERICA ESPINOZA
Practice Location Address:
515 E FAIRVIEW AVE BLDG K
SAN GABRIEL, CA
91776-3040
Practice Phone: 866-727-8274
Practice Fax:
1457929184 — CHRISTY OJEDA
Practice Location Address:
515 E FAIRVIEW AVE BLDG K
SAN GABRIEL, CA
91776-3040
Practice Phone: 866-727-8274
Practice Fax:
1366266959 — MEGAN JUSTINE TRONO MSN, APRN, FNP-C
Practice Location Address:
515 E FAIRVIEW AVE BLDG K
SAN GABRIEL, CA
91776-3040
Practice Phone: 866-727-8274
Practice Fax:

Directions to “ KATELYN MATHEWSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.