MEDICARE: KATHERINE TREFF MS, BCBA, LBA

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	103K00000X	Behavior Analyst	8793	TX

General Provider Information

NPI Number	:	1699249383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE TREFF MS, BCBA, LBA

Provider Business Mailing Address
First Line	:	500 N VALLEY PKWY STE 103
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3479
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N VALLEY PKWY STE 103
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3479
Country	:	US
Telephone Number	:	469-946-8400
Fax Number	:

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

Provider Enumeration Date	:	01/15/2019
Last Update Date	:	09/08/2025

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