DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATELYNNE CHANTHAVONG, M.A., BCBA, LBA

Active

KATELYNNE CHANTHAVONG, M.A., BCBA, LBA is a Behavior Analyst healthcare provider located in AUBURN, Washington. NPI 1649876764 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · AUBURN, WA

Registration Details

NPI Number
1649876764
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2020 (5.6493558201239 yrs)
Last Updated
Jan 10, 2022
Licenses
AB61182370 (WA)
BACB593119 (WA)

Practice Information

Address
110 2ND ST SW STE 140
AUBURN, WA, 980015203
Browse WA providers · Browse ZIP 98001
Phone
4258029336
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Assistant Behavior Analyst
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in AUBURN, WA

Name Credential NPI
SCOTT GROSS 1972983278
KELSIE MCQUEEN-GERHART 1861905069
LOUELLE NADELA 1962991265
NANCY LE TRAN MS, BCBA 1053873778
KATHY PHUONG NGUYEN 1578127478
JESSICA CLARK 1265078265
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.