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Katelyn Theresa Long

Behavior Technician in Ballwin, MO. Individual provider (NPI-1).

NPI number1750144879
StatusActive
Last updated in NPPESJun 11, 2025

Details

NPI
1750144879
Entity type
Individual (NPI-1)
Name
Katelyn Theresa Long
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2024
Certification date
Jun 11, 2025
Last updated
Jun 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-22-214339MOYes
103K00000X Behavior Analyst2024034597MO

Practice location

14733 Clayton Rd
Ballwin, MO 63011-2660

Phone 314-399-7732

Mailing address

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045

Phone 573-433-4310

Other practice locations

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045

Phone 417-818-5784

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Other Behavior Technician providers in Ballwin, MO

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