Whalio Doctors

NPI 1073124210

Katelyn Renee Boden, MS

Practitioner Behavior Analyst Medina, OH

Practice location

Address
805 E Washington St STE 130, Medina, OH 44256-3331
Phone
(234) 255-8531
Fax
(330) 313-3782
Mailing address
7500 San Felipe St STE 990, Houston, TX 77063-1708

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-24-75349 (OH)
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-84783 (OH)

Registry record

NPI
1073124210
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Aug 2020
Record last updated
25 Sep 2024

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.