Provider Demographics
NPI:1942079090
Name:HOFFMAN, KATELYN MARGARET (BCBA)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:MARGARET
Last Name:HOFFMAN
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 1:100 SHAWAN RD UNIT 363
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1477
Mailing Address - Country:US
Mailing Address - Phone:717-870-9667
Mailing Address - Fax:
Practice Address - Street 1:500 REDLAND CT STE 102
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3265
Practice Address - Country:US
Practice Address - Phone:844-854-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA1707103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst