NPI 1003458076

Katie Beth Rudd

Practitioner Behavior Technician Caruthersville, MO

Practice location

Address: 915 Highway 84 W, Caruthersville, MO 63830-8113
Phone: (573) 333-5875

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003458076
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2019
Record last updated: 11 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.