Provider Demographics
NPI:1518303445
Name:FILEZ, KATRIEN (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:KATRIEN
Middle Name:
Last Name:FILEZ
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 NAKAI TRL
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86005-3796
Mailing Address - Country:US
Mailing Address - Phone:928-213-8263
Mailing Address - Fax:928-213-8265
Practice Address - Street 1:419 N SAN FRANCISCO ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-4631
Practice Address - Country:US
Practice Address - Phone:928-213-8263
Practice Address - Fax:928-213-8265
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-19
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-12-11788103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst