Katelyn Denise Bagley

Individual provider Active NPI Behavior Technician · Whitman, MA

NPI 1669314464 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1669314464
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5 Robin Rd
Whitman, MA 02382-1891
Phone
(781) 857-8091
NPI assigned
Apr 8, 2026
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5 Robin Rd
Whitman, MA 02382-1891

Mailing address

5 Robin Rd
Whitman, MA 02382-1891

Other providers in Whitman, MA

All providers in Whitman, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.