Katheryn A Moyle
Individual provider Active NPI Behavior Technician · Ely, NV
NPI 1225522121 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1225522121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2215 Iron Dr
Ely, NV 89301-3113 - Phone
- (775) 240-4988
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NV | Yes |
Addresses
Primary practice location
2215 Iron Dr
Ely, NV 89301-3113
Mailing address
2215 Iron Dr
Ely, NV 89301-3113
Phone (775) 240-4988
Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.