Provider Demographics
NPI:1639888357
Name:WINTERSTEIGER, KAITLYN (MED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:
Last Name:WINTERSTEIGER
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 WHEATLAND STATION WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-0001
Mailing Address - Country:US
Mailing Address - Phone:703-431-3665
Mailing Address - Fax:
Practice Address - Street 1:2620 WHEATLAND STATION WAY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-0001
Practice Address - Country:US
Practice Address - Phone:703-431-3665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133003252103K00000X
VA156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No156F00000XEye and Vision Services ProvidersTechnician/Technologist