Katelynn Atz, RBT
Individual provider Active NPI Behavior Technician · Kendallville, IN
NPI 1689489684 · NPPES record last updated Feb 8, 2025
Key facts
- NPI
- 1689489684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-22-247840 (IN)
- Practice address
- 2767 E US Highway 6
Kendallville, IN 46755-9341 - Phone
- (260) 318-9005
- NPI assigned
- Feb 8, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-247840 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-247840 | IN | Yes |
Addresses
Primary practice location
2767 E US Highway 6
Kendallville, IN 46755-9341
Mailing address
2767 E US Highway 6
Kendallville, IN 46755-9341
NPI Registry JSON
{
"created_epoch": "1738972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738972800000",
"number": "1689489684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2767 E US HIGHWAY 6",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467559341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2767 E US HIGHWAY 6",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467559341",
"telephone_number": "260-318-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATZ",
"first_name": "KATELYNN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-08",
"last_updated": "2025-02-08",
"certification_date": "2025-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-22-247840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendallville, IN
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- Debra Jean Amidon
- Leslie Angel
- Alissa Anglemyer
- Sadaf Bangash
- Dannee Bartley
- Kyleigh Barton
- Caitlyn Ann Bauer
- Storm Baughman
All providers in Kendallville, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2025. 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.