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NPI Code Detail

MEDICARE: KATELYN EMILY POOJAROEN RBT

MEDICARE: KATELYN EMILY POOJAROEN RBT
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
1106S00000XBehavior TechnicianRBT-19-107092TX
2103K00000XBehavior Analyst1-21-50317TX

General Provider Information

NPI Number : 1538706023
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN EMILY POOJAROEN RBT
Provider Business Mailing Address
First Line : 1105 W RUSSELL ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1322
Country : US
Telephone Number : 605-271-2690
Fax Number : 605-271-3956
Provider Business Practice Location Address
First Line : 1021 HAMPSHIRE LN
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-5143
Country : US
Telephone Number : 605-271-2690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2019
Last Update Date : 02/16/2026

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