MEDICARE: KATIE CHECK

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

General Provider Information

NPI Number	:	1972358174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE CHECK

Provider Business Mailing Address
First Line	:	5150 N COUNTY ROAD Y
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-8837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 N COUNTY ROAD Y
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-8837
Country	:	US
Telephone Number	:	262-716-1173
Fax Number	:

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

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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Directions to “ KATIE CHECK ” Practice Location

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