Individual provider · NPI-1
Katherine M Brackin, BT
Behavior Technician · Charlotte, NC
NPI number1962133157
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1962133157
- Entity type
- Individual (NPI-1)
- Name
- Katherine M Brackin
- Credential
- BT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2022
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
10926 S Tryon St Ste ECharlotte, NC 28273-4154
Phone 855-201-5498
Mailing address
10926 S Tryon St Ste ECharlotte, NC 28273-4154
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