Katelin Mw Wareham, is a
Behavior Technician based in Jerome, Idaho. Katelin Mw Wareham is licensed to practice in * (Not Available) (license number ) and her current practice location is
130 South Lincoln, Jerome, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 313-9080.
NPI number for Katelin Mw Wareham is 1932957875 and her current mailing address is 149 S 200 W, Jerome, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932957875.
Healthcare Provider's Profile
| Full Name | Katelin Mw Wareham |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 130 South Lincoln, Jerome, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932957875
- Provider Enumeration Date: 05/07/2024
- Last Update Date: 05/07/2024
Medical Identifiers
Medical identifiers for Katelin Mw Wareham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932957875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelin Mw Wareham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katelin Mw Wareham,
149 S 200 W,
Jerome, ID 83338-6058
Ph: (208) 313-9080 | Katelin Mw Wareham,
130 South Lincoln,
Jerome, ID 83338
Ph: (208) 313-9080 |
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