Mikaelyn Katterhagen, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-190083 Issued in VA

Practice address

10468 Investors PL Ste B
Spotsylvania, VA 22553-1749

Phone

(757) 384-3248

Fax

(540) 301-8315

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Driven Behavioral Support LLC

  • Behavior Analyst
  • Spotsylvania, VA
  • NPI 1831732486
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1316601198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 INVESTORS PL STE B",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531749",
            "telephone_number": "757-384-3248",
            "fax_number": "540-301-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10468 INVESTORS PL STE B",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531749",
            "telephone_number": "757-384-3248",
            "fax_number": "540-301-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTERHAGEN",
        "first_name": "MIKAELYN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-21-190083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Johnson
• Donna Jones, LCSW
• Lorraine Ann Jones
• Danny Ryann Justice, MD
• Alexis Kandetzki, MSW
• Brittany Nicole Kendrick
• KG Industries
• KG Industries
• Aliyeen Khan
• Kids Choice Pediatrics, P.C.

• Behavior Technician in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.