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NPI Code Detail

MEDICARE: MRS. KATELYN MARIE ANDRYSIAK-BEGERT BCBA

MEDICARE: MRS. KATELYN MARIE ANDRYSIAK-BEGERT 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 Analyst

General Provider Information

NPI Number : 1609535509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATELYN MARIE ANDRYSIAK-BEGERT BCBA
Provider Business Mailing Address
First Line : 8609 W BRYN MAWR AVE STE 204
Second Line : STE 204
City : CHICAGO
State : IL
Zip : 60631-3524
Country : US
Telephone Number : 773-644-7787
Fax Number :
Provider Business Practice Location Address
First Line : 8609 W BRYN MAWR AVE STE 204
Second Line : STE 204
City : CHICAGO
State : IL
Zip : 60631-3524
Country : US
Telephone Number : 773-644-7787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2021
Last Update Date : 02/19/2026

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