Provider Demographics
NPI:1629756218
Name:FREEMAN, KATHERINE PAIGE (RBT)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:PAIGE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MEREDITH RD
Mailing Address - Street 2:
Mailing Address - City:CARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37714-3612
Mailing Address - Country:US
Mailing Address - Phone:865-809-8062
Mailing Address - Fax:
Practice Address - Street 1:401 MEREDITH RD
Practice Address - Street 2:
Practice Address - City:CARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37714-3612
Practice Address - Country:US
Practice Address - Phone:865-809-8062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-23-273855106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician