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NPI Code Detail

MEDICARE: KATHERINE HOUCK

MEDICARE: KATHERINE HOUCK
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 Technician

General Provider Information

NPI Number : 1780343525
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE HOUCK
Provider Business Mailing Address
First Line : 20 W 7TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4502
Country : US
Telephone Number : 402-405-5735
Fax Number :
Provider Business Practice Location Address
First Line : 7375 EXECUTIVE PL STE 203
Second Line :
City : LANHAM
State : MD
Zip : 20706-6236
Country : US
Telephone Number : 301-970-9678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2021
Last Update Date : 03/28/2025

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Directions to “ KATHERINE HOUCK ” Practice Location

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