NPI 1780102541 · live from the CMS NPI Registry
Katherine Jane Mitchem, BCBA-D
Behavior Analyst in Morgantown, WV. National Provider Identifier 1780102541, active.
NPI record
| NPI | 1780102541 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 827 Fairmont Rd Ste 207, Morgantown, WV 26501 |
| Practice phone | 304-241-5982 |
| Mailing address | 27 Imperial Woods Dr, Morgantown, WV 26508 |
| Enumerated | August 31, 2017 |
| Last updated | August 31, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-12-10165 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.