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NPI Code Detail

MEDICARE: KATRINA JANEL WARREN

MEDICARE: KATRINA JANEL WARREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst4321NC

General Provider Information

NPI Number : 1154298016
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA JANEL WARREN
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : BELMONT
State : NC
Zip : 28012-0749
Country : US
Telephone Number : 704-869-2088
Fax Number :
Provider Business Practice Location Address
First Line : 16409 NORTHCROSS DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-5065
Country : US
Telephone Number : 980-441-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 06/19/2026

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