MEDICARE: KATHERINE M ROSATI 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
1	103K00000X	Behavior Analyst	LBA2294	MD

General Provider Information

NPI Number	:	1891473138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE M ROSATI BCBA

Provider Business Mailing Address
First Line	:	1750 FOREST DR STE 160
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4211
Country	:	US
Telephone Number	:	855-935-3691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 FOREST DR STE 160
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4211
Country	:	US
Telephone Number	:	855-935-3691
Fax Number	:

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

Provider Enumeration Date	:	07/07/2023
Last Update Date	:	10/22/2025

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