Katelin Rose Holcombe
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1124846845
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1124846845
- Entity type
- Individual (NPI-1)
- Name
- Katelin Rose Holcombe
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2024
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11799 Sebastian Way Ste 103Rancho Cucamonga, CA 91730-0708
Phone 909-353-7547
Mailing address
1214 Via PalermoRedlands, CA 92374-3981
Phone 909-362-4133
Is something wrong?
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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All 1,922 Behavior Technician providers in Rancho Cucamonga · All 5,953 providers in Rancho Cucamonga
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