Katrina Marie Deminski, RBT
Individual provider Active NPI Behavior Analyst · Pineville, NC
NPI 1942980867 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1942980867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471 - Phone
- (704) 541-9080
- NPI assigned
- Jul 25, 2023
- 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 |
|---|---|---|---|
| BACBBACB66634 | NC | MD | Developmental - Behavioral Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | BACBBACB66634 | NC | |
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471
Mailing address
11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471
Phone (704) 541-9080
Other providers in Pineville, NC
- Irene N/a D'Alessandris
- Sharon Ann D'Ingillo
- Kensie F D'Orio
- Elizabeth Davidson
- Jacob Deese
- Denner Chiropractic and Performance PLLC
- Matheau James Denner
- Desiree McMillan Professional Services, LLC
- Tara-Marie Devlin
- Samantha Dikun
All providers in Pineville, NC · Behavior Analyst in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. 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.