Katrina M Ingham
Behavior Technician in Poway, CA. Individual provider (NPI-1).
NPI number1114694841
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1114694841
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katrina M Ingham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-18-47531 | CA | Yes |
Practice location
12668 Stone Canyon RdPoway, CA 92064-2011
Phone 858-335-5404
Mailing address
12668 Stone Canyon RdPoway, CA 92064-2011
Phone 858-335-5404
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