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NPI Code Detail

MEDICARE: KATHERINE M WRIGHT

MEDICARE: KATHERINE M WRIGHT
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 TechnicianRBT-18-72810TX
2103K00000XBehavior Analyst5064TX

General Provider Information

NPI Number : 1992347215
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE M WRIGHT
Provider Business Mailing Address
First Line : 161 JD TOWLES DR
Second Line :
City : WILLOW PARK
State : TX
Zip : 76087-8654
Country : US
Telephone Number : 682-900-1444
Fax Number : 682-900-1444
Provider Business Practice Location Address
First Line : 12333 BEAR PLZ STE 200
Second Line :
City : BURLESON
State : TX
Zip : 76028-0215
Country : US
Telephone Number : 682-900-1444
Fax Number : 682-900-1444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2019
Last Update Date : 03/06/2023

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Directions to “ KATHERINE M WRIGHT ” Practice Location

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