NPI 1811611718 · live from the CMS NPI Registry
Katelyn Marie Dethlefs
Behavior Analyst in Omaha, NE. National Provider Identifier 1811611718, active.
NPI record
| NPI | 1811611718 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 310 Regency Pkwy, Omaha, NE 68114 |
| Practice phone | 402-804-0208 |
| Mailing address | 13808 W Maple Rd Ste 124, Omaha, NE 68164 |
| Enumerated | October 4, 2022 |
| Last updated | April 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.