MEDICARE: KATELYN MEYER

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
1	106E00000X	Assistant Behavior Analyst	0-23-14745	TX
2	106S00000X	Behavior Technician	RBT-21-178535	TX
3	103K00000X	Behavior Analyst	1-24-70802	TX

General Provider Information

NPI Number	:	1265104202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN MEYER

Provider Business Mailing Address
First Line	:	2310 REX CRUSE DR
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-3000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 N SAM RAYBURN FWY
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-5863
Country	:	US
Telephone Number	:	214-778-1153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2021
Last Update Date	:	01/25/2024

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Directions to “ KATELYN MEYER ” Practice Location

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