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Katelynn Widner

Behavior Technician in Mustang, OK. Individual provider (NPI-1).

NPI number1104736271
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1104736271
Entity type
Individual (NPI-1)
Name
Katelynn Widner
Sole proprietor
No
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1468 N Mustang Rd
Mustang, OK 73064-7214

Phone 732-806-0091

Mailing address

185 Route 70 Ste 302
Toms River, NJ 08755-0911

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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