Healthcare Provider Details

I. General information

NPI: 1174270870
Provider Name (Legal Business Name): KATHRYN DUARTE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date: 12/08/2025
Reactivation Date: 12/16/2025

III. Provider practice location address

433 HEISLEY PARK LN
PAINESVILLE OH
44077-6119
US

IV. Provider business mailing address

433 HEISLEY PARK LN
PAINESVILLE OH
44077-6119
US

V. Phone/Fax

Practice location:
  • Phone: 404-339-0874
  • Fax:
Mailing address:
  • Phone: 404-339-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81782
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-185661
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: