Wellformed AI

NPI 1568819928 · live from the CMS NPI Registry

Katelyn Koch, BCBA

Behavior Analyst in Anchorage, AK. National Provider Identifier 1568819928, active.

NPI record

NPI1568819928 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1120 Huffman Rd # 24-580, Anchorage, AK 99515
Practice phone336-460-4450
EnumeratedMay 16, 2016
Last updatedApril 22, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-16-21641 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.