MEDICARE: KATHERINE DIMARIA

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	RBT-21-181483	CO

General Provider Information

NPI Number	:	1811560501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE DIMARIA

Provider Business Mailing Address
First Line	:	4275 DEERFIELD HILLS RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-3521
Country	:	US
Telephone Number	:	321-795-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4275 DEERFIELD HILLS RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-3521
Country	:	US
Telephone Number	:	321-795-6600
Fax Number	:

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

Provider Enumeration Date	:	07/20/2021
Last Update Date	:	12/18/2024

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Directions to “ KATHERINE DIMARIA ” Practice Location

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