Katherine Beltran

Individual provider Active NPI Other Technician · Casselberry, FL

NPI 1003362930 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1003362930
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
1544 Seminola Blvd Unit 116
Casselberry, FL 32707-3642
Phone
(407) 636-9804
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Therapy 4Kids LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

1544 Seminola Blvd Unit 116
Casselberry, FL 32707-3642

Mailing address

1544 Seminola Blvd Unit 116
Casselberry, FL 32707-3642
Phone (407) 636-9804

Other providers in Casselberry, FL

All providers in Casselberry, FL · Other Technician in Florida

Sources for this page

Verify at the official NPI Registry.