Mullen, Katelyn Rose

Mullen, Katelyn Rose is an individual health care provider with primary practice located at 2904 Foltz Dr , Edgewood KY 41017-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mullen, Katelyn Rose can be contacted via phone (859) 795-3000.

Contact Information

Primary practice address
2904 Foltz Dr Edgewood KY 41017-2525
Phone: (859) 795-3000
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 245872 Kentucky

Profile Details

NPI number 1134427628
LBN Legal business name Mullen, Katelyn Rose
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2011
Last updated Mar 20th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134427628 NPPES
Other 1-12-10191 BCBA CERTIFICATION

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