Katlyn Gannon
Behavior Technician in Springfield, OH. Individual provider (NPI-1).
NPI number1295370641
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1295370641
- Entity type
- Individual (NPI-1)
- Name
- Katlyn Gannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2019
- Last updated
- Nov 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2430 Van Buren AveSpringfield, OH 45505-2555
Phone 303-989-8169
Mailing address
2430 Van Buren AveSpringfield, OH 45505-2555
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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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All 109 Behavior Technician providers in Springfield · All 2,833 providers in Springfield
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