Healthcare Provider Details

I. General information

NPI: 1013523521
Provider Name (Legal Business Name): KATELYN LOWRIE M.S., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2020
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16821 SE MCGILLIVRAY BLVD STE 100
VANCOUVER WA
98683-0401
US

IV. Provider business mailing address

16821 SE MCGILLIVRAY BLVD STE 100
VANCOUVER WA
98683-0401
US

V. Phone/Fax

Practice location:
  • Phone: 360-818-9593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-74237
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: