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NPI Code Detail

MEDICARE: KATHERYNE FAYTHE CONNER MS

MEDICARE:   KATHERYNE FAYTHE CONNER  MS
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 Analyst
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316415144
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERYNE FAYTHE CONNER MS
Provider Business Mailing Address
First Line : 1015 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1015 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3489
Country : US
Telephone Number : 719-354-5297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2018
Last Update Date : 04/21/2026

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Directions to “ KATHERYNE FAYTHE CONNER MS” Practice Location

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