Katherine Nicodemus

NPI #1346040532 in Burke, Virginia

Provider Information

NPI Number: 1346040532
Entity Type: Individual
Name: Katherine Nicodemus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 17, 2025
Last Updated: Mar 17, 2025

Practice Location

Address: 6213 FUSHSIMI CT
City: Burke
State: Virginia
ZIP Code: 22015-3451
Phone: (571) 337-2326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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