KATELYN THERESA LONG

BALLWIN, MO
NPI1750144879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: MO  RBT-22-214339)
Additional Taxonomies103K00000X Behavior Analyst
(Licence: MO  2024034597)
Enumeration Date2024-02-01
Last Update Date2025-06-11
Business Address
KATELYN THERESA LONG
14733 CLAYTON RD
BALLWIN, MO 63011-2660
Phone number: 314-399-7732
Mailing Address
KATELYN THERESA LONG
3048 S CLIFTON AVE STE 112
SPRINGFIELD, MO 65807-6045
Phone number: 573-433-4310