Active NPI
Catherine Wadlow
- Behavior Technician
- Wichita Falls, TX
National Provider Identifier
1417626656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-147861
- Practice address
- 4084 Regent Dr
Wichita Falls, TX 76308-1508 - Phone
- (940) 228-5297
- Fax
- (940) 500-4025
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-147861 | Primary |
Addresses
Primary practice location
4084 Regent Dr
Wichita Falls, TX 76308-1508
Mailing address
4084 Regent Dr
Wichita Falls, TX 76308-1508
Phone (940) 228-5297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1417626656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4084 REGENT DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763081508",
"telephone_number": "940-228-5297",
"fax_number": "940-500-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4084 REGENT DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763081508",
"telephone_number": "940-228-5297",
"fax_number": "940-500-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADLOW",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-147861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.