Provider Demographics
NPI:1821608829
Name:MONLUX, KATERINA (BCBA)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:MONLUX
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 NE PONDEROSA BLVD
Mailing Address - Street 2:
Mailing Address - City:HANSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98340-9713
Mailing Address - Country:US
Mailing Address - Phone:949-648-2300
Mailing Address - Fax:
Practice Address - Street 1:1701 NE COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:949-648-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61087453103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst