Katy Ann Mattern, LABA
Individual provider Active NPI Behavior Analyst · Selah, WA
NPI 1477053825 · NPPES record last updated Feb 12, 2018
Key facts
- NPI
- 1477053825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- AB60829120 (WA)
- Practice address
- 4921 S Wenas Rd
Selah, WA 98942-9000 - Phone
- (509) 951-5022
- NPI assigned
- Feb 12, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AB60829120 | WA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | AB60829120 | WA | Yes |
Addresses
Primary practice location
4921 S Wenas Rd
Selah, WA 98942-9000
Mailing address
4921 S Wenas Rd
Selah, WA 98942-9000
Phone (509) 951-5022
Other names
- Miss Katy Beck
Other providers in Selah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 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.