Individual provider · NPI-1

Katherine Ann Blum

Behavior Analyst · Concord, NC

NPI number1508699448
StatusActive
Last updated in NPPESAug 26, 2024

Details

NPI
1508699448
Entity type
Individual (NPI-1)
Name
Katherine Ann Blum
Sex
Female
Sole proprietor
No
Enumeration date
Aug 26, 2024
Certification date
Aug 26, 2024
Last updated
Aug 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-24-75178NCYes

Practice location

855 Bradley St Ne
Concord, NC 28025-2979

Phone 980-202-7451

Mailing address

814 Tyvola Rd Ste 126
Charlotte, NC 28217-3539

Phone 980-785-1113 · Fax 980-785-1114

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