MRS. Katharine Page Tackaberry, MS, BCBA

NPI #1558801365 in De Pere, Wisconsin

Provider Information

NPI Number: 1558801365
Entity Type: Individual
Name: MRS. Katharine Page Tackaberry, MS, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MS, BCBA
Enumeration Date: Feb 27, 2017
Last Updated: Feb 27, 2017

Practice Location

Address: 1141 W MAIN AVE
Address 2: 200
City: De Pere
State: Wisconsin
ZIP Code: 54115-9345
Phone: (920) 338-1610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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