Individual provider · NPI-1

Kathryn Abram

Behavior Technician · Tempe, AZ

NPI number1417517301
StatusActive
Last updated in NPPESJun 13, 2019

Details

NPI
1417517301
Entity type
Individual (NPI-1)
Name
Kathryn Abram
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 13, 2019
Last updated
Jun 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
175T00000X Peer Specialist––

Practice location

1400 E Southern Ave Ste 735
Tempe, AZ 85282-5699

Phone 480-804-0326

Mailing address

15444 N Blackbird Dr
Fountain Hills, AZ 85268-2223

Phone 612-209-6776

Other practice locations

15444 N Blackbird Dr
Fountain Hills, AZ 85268-2223

Phone 612-209-6776

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