Healthcare Provider Details

I. General information

NPI: 1770970436
Provider Name (Legal Business Name): KATIE LYNN SEWARD LBA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 TERMINAL DR
RICHLAND WA
99354-4953
US

IV. Provider business mailing address

6409 E MILL PLAIN BLVD
VANCOUVER WA
98661-7454
US

V. Phone/Fax

Practice location:
  • Phone: 360-984-3131
  • Fax:
Mailing address:
  • Phone: 360-984-3131
  • Fax: 360-718-8542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA70131100
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: