Provider Demographics
NPI:1477334472
Name:STEBBINS, KATIE (MA, RBT)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:STEBBINS
Suffix:
Gender:F
Credentials:MA, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16315 BOHNHOF STRASSE ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1718
Mailing Address - Country:US
Mailing Address - Phone:346-285-0154
Mailing Address - Fax:
Practice Address - Street 1:3036 YALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8434
Practice Address - Country:US
Practice Address - Phone:782-285-5782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-174077106S00000X
1-24-71228103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician