DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATHERINE KELLOGG BCBA

MEDICARE: KATHERINE KELLOGG BCBA
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 Analyst11624500

General Provider Information

NPI Number : 1336684984
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE KELLOGG BCBA
Provider Business Mailing Address
First Line : 7022 SARDIS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-6058
Country : US
Telephone Number : 704-999-1882
Fax Number : 704-366-8210
Provider Business Practice Location Address
First Line : 7022 SARDIS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-6058
Country : US
Telephone Number : 704-366-8260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2017
Last Update Date : 05/11/2026

Similar Medicare Providers

1437262409 — STACI HUSKA BRODERICK M.S. CCC-SLP
Practice Location Address:
7022 SARDIS RD
CHARLOTTE, NC
28270-6058
Practice Phone: 704-292-4712
Practice Fax:
1952820151 — MADISYN LENORA PATTERSON COTA/L
Practice Location Address:
7022 SARDIS RD
CHARLOTTE, NC
28270-6058
Practice Phone: 704-366-8260
Practice Fax:
1316453400 — MADELINE SMITH
Practice Location Address:
7022 SARDIS RD
CHARLOTTE, NC
28270-6058
Practice Phone: 704-366-8260
Practice Fax:
1366093023 — SAMANTHA AYRES BCBA
Practice Location Address:
7022 SARDIS RD
CHARLOTTE, NC
28270-6058
Practice Phone: 704-366-8260
Practice Fax:
1609413178 — SHELLY ANN DANIEL OTR/L
Practice Location Address:
7022 SARDIS RD
CHARLOTTE, NC
28270-6058
Practice Phone: 704-366-8260
Practice Fax:
1649817958 — JESSICA FAYE-GOMEZ HADDAD
Practice Location Address:
7022 SARDIS RD
CHARLOTTE, NC
28270-6058
Practice Phone: 704-960-9254
Practice Fax:

Directions to “ KATHERINE KELLOGG BCBA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.