Healthcare Provider Details

I. General information

NPI: 1568371292
Provider Name (Legal Business Name): KATHERINE NATALIE FELIX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13312 LOS PINOS CT
VICTORVILLE CA
92392-8349
US

IV. Provider business mailing address

13312 LOS PINOS CT
VICTORVILLE CA
92392-8349
US

V. Phone/Fax

Practice location:
  • Phone: 323-244-9901
  • Fax:
Mailing address:
  • Phone: 323-244-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: