NPI 1013415561 · live from the CMS NPI Registry
Katrina Nicole Backstrom
Behavior Analyst in Bellingham, WA. National Provider Identifier 1013415561, active.
NPI record
| NPI | 1013415561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2110 Iron St, Bellingham, WA 98225 |
| Practice phone | 360-930-6063 |
| Enumerated | January 30, 2018 |
| Last updated | January 30, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.