Katlyn Atlow

Individual provider Active NPI Behavior Technician · Mandeville, LA

NPI 1700522091 · NPPES record last updated May 9, 2022

Key facts

NPI
1700522091
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1325 W Causeway Approach
Mandeville, LA 70471-3043
Phone
(985) 272-1824
NPI assigned
May 9, 2022
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

1325 W Causeway Approach
Mandeville, LA 70471-3043

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Other providers in Mandeville, LA

All providers in Mandeville, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.