Provider Demographics
NPI:1497138036
Name:KATTIS, SHARI MICHELLE (MA, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:MICHELLE
Last Name:KATTIS
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 S PATTERSON PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2106
Mailing Address - Country:US
Mailing Address - Phone:516-435-6462
Mailing Address - Fax:
Practice Address - Street 1:24 S PATTERSON PARK AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-2106
Practice Address - Country:US
Practice Address - Phone:516-435-6462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator