MEDICARE: MRS. KATHRYN KAATZ

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	106S00000X	Behavior Technician
2	390200000X	Student in an Organized Health Care Education/Training Program		TX

General Provider Information

NPI Number	:	1366003287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN KAATZ

Provider Business Mailing Address
First Line	:	1190 N. WALNUT AVE
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-9619
Country	:	US
Telephone Number	:	830-515-8480
Fax Number	:

Provider Business Practice Location Address
First Line	:	1099 N WALNUT AVE STE A
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-5323
Country	:	US
Telephone Number	:	830-515-8480
Fax Number	:

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

Provider Enumeration Date	:	06/21/2019
Last Update Date	:	06/19/2026

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