Katherine June Mork
Behavior Technician in Deerfield Beach, FL. Individual provider (NPI-1).
NPI number1013545987
StatusActive
Last updated in NPPESMar 27, 2020
Details
- NPI
- 1013545987
- Entity type
- Individual (NPI-1)
- Name
- Katherine June Mork
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Mar 27, 2020
- Last updated
- Mar 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817
Phone 877-418-2978 · Fax 866-500-2186
Mailing address
31147 Wrencrest DrWesley Chapel, FL 33543-7883
Phone 727-267-4383
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