MEDICARE: KATLYN MCKINNEY M.ED, BCBA, LBS

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	BH003625	PA

General Provider Information

NPI Number	:	1982110888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATLYN MCKINNEY M.ED, BCBA, LBS

Provider Business Mailing Address
First Line	:	125 E COUNTY LINE RD STE 160
Second Line	:
City	:	WARMINSTER
State	:	PA
Zip	:	18974-4906
Country	:	US
Telephone Number	:	267-215-7010
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 E COUNTY LINE RD STE 160
Second Line	:
City	:	WARMINSTER
State	:	PA
Zip	:	18974-4906
Country	:	US
Telephone Number	:	267-215-7010
Fax Number	:	267-215-7016

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

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	05/07/2026

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