Tackaberry, Katharine Page
Tackaberry, Katharine Page is an individual health care provider with primary practice located at 1141 W Main Ave 200, De Pere WI 54115-9345. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tackaberry, Katharine Page can be contacted via phone (920) 338-1610.Contact Information
Primary practice address
1141 W Main Ave 200
De Pere WI 54115-9345
Phone: (920) 338-1610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-24034 | Wisconsin |
Profile Details
| NPI number | 1558801365 |
|---|---|
| LBN Legal business name | Tackaberry, Katharine Page |
| Credentials | MS, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2017 |
| Last updated | Feb 27th, 2017 - about 9 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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