Katelyn Breann Bentley, RBT
Individual provider Active NPI Behavior Technician · Chickasha, OK
NPI 1972355592 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1972355592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-334124 (OK)
- Practice address
- 609 W McKenzie Dr
Chickasha, OK 73018-8189 - Phone
- (405) 206-2347
- NPI assigned
- Apr 5, 2024
- 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 |
|---|---|---|---|
| RBT-24-334124 | OK | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-334124 | OK | Yes |
Addresses
Primary practice location
609 W McKenzie Dr
Chickasha, OK 73018-8189
Mailing address
609 W McKenzie Dr
Chickasha, OK 73018-8189
Phone (405) 206-2347
Other providers in Chickasha, OK
- Nicole Daniel Bauman
- Meladie Jo Baxley
- Michael Beard
- Anupama Bekkem
- Stephanie A Belle
- Delanie Berry
- Beyond Vision Care PLLC
- Rasila Bhakta
- Nerissa Black
- Dawnshaye Renee Blakes
All providers in Chickasha, OK · Behavior Technician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. 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.