Provider Demographics
NPI:1336292044
Name:ARBATAITIS, KATIE A (MA)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:A
Last Name:ARBATAITIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:PROF
Other - First Name:KATIE
Other - Middle Name:A
Other - Last Name:TIGGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:14775 EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-5476
Mailing Address - Country:US
Mailing Address - Phone:402-968-5907
Mailing Address - Fax:531-213-2828
Practice Address - Street 1:14775 EAGLE ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-5476
Practice Address - Country:US
Practice Address - Phone:402-968-5907
Practice Address - Fax:531-213-2828
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1057235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39957OtherBCBS BT
NE39983OtherBCBS ENT
NE100251772-00Medicaid
NE100251782-00Medicaid
NE100251783-00Medicaid
NE100252727-00Medicaid