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Katrina Lynn Vanallen

Behavior Technician in Monrovia, CA. Individual provider (NPI-1).

NPI number1063103232
StatusActive
Last updated in NPPESMay 17, 2023

Details

NPI
1063103232
Entity type
Individual (NPI-1)
Name
Katrina Lynn Vanallen
Sex
Female
Sole proprietor
Yes
Enumeration date
May 17, 2023
Certification date
May 17, 2023
Last updated
May 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Other names

  • Katrina Lynn Rodarte (Other Name)

Practice location

612 S Myrtle Ave
Monrovia, CA 91016-3406

Phone 626-775-7888

Mailing address

2724 2nd St
La Verne, CA 91750-5005

Phone 760-684-1202

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