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NPI Code Detail

MEDICARE: KATERINA MARIE DRURY

MEDICARE: KATERINA MARIE DRURY
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 AnalystBA61255060
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1912551391
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATERINA MARIE DRURY
Provider Business Mailing Address
First Line : 8180 EBBERT DR SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-9713
Country : US
Telephone Number : 360-473-9966
Fax Number :
Provider Business Practice Location Address
First Line : 4171 WHEATON WAY STE 6
Second Line :
City : BREMERTON
State : WA
Zip : 98310-3603
Country : US
Telephone Number : 360-473-9966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 01/03/2022

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Directions to “ KATERINA MARIE DRURY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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