NPI 1003579384

Katelynne Ketchum, RBT

Practitioner Foster Care Agency Flagstaff, AZ

Practice location

Address: 3480 E Route 66, Flagstaff, AZ 86004-4032
Phone: (928) 438-9985
Fax: (317) 520-8200
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties (3)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-188875 (AZ)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X

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Registry record

NPI: 1003579384
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2021
Record last updated: 2 Mar 2026

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.