Chanthavong, Katelynne
Chanthavong, Katelynne is an individual health care provider with primary practice located at 110 2Nd St Sw Ste 140 , Auburn WA 98001-5203. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Chanthavong, Katelynne can be contacted via phone (425) 802-9336.Contact Information
Primary practice address
110 2Nd St Sw Ste 140
Auburn WA 98001-5203
Phone: (425) 802-9336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | AB61182370 | Washington |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BACB593119 | Washington |
Profile Details
| NPI number | 1649876764 |
|---|---|
| LBN Legal business name | Chanthavong, Katelynne |
| Credentials | M.A., BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2020 |
| Last updated | Jan 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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