Gatzke, Katelyn
Gatzke, Katelyn is an individual health care provider with primary practice located at 1314 Riverland Rd Se , Roanoke VA 24014-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Gatzke, Katelyn can be contacted via phone (866) 565-7222.Contact Information
Primary practice address
1314 Riverland Rd Se
Roanoke VA 24014-3610
Phone: (866) 565-7222
Fax: (877) 734-1914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0134000284 | Virginia |
Profile Details
| NPI number | 1124678891 |
|---|---|
| LBN Legal business name | Gatzke, Katelyn |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2019 |
| Last updated | Aug 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124678891 | NPPES |
| Virginia | MEDICAID | 1124678891 |
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