Healthcare Provider Details

I. General information

NPI: 1871966978
Provider Name (Legal Business Name): KATERINA DEWING BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATERINA VOITIK BCABA

II. Dates (important events)

Enumeration Date: 11/11/2015
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 PALOMAR AIRPORT RD SUITE 322
CARLSBAD CA
92011-1418
US

IV. Provider business mailing address

2111 PALOMAR AIRPORT RD SUITE 322
CARLSBAD CA
92011-1418
US

V. Phone/Fax

Practice location:
  • Phone: 760-438-0078
  • Fax:
Mailing address:
  • Phone: 760-438-0078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: