Provider Demographics
NPI:1205528817
Name:KATY AND WARREN LLC
Entity type:Organization
Organization Name:KATY AND WARREN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATY
Authorized Official - Middle Name:W
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:253-249-5002
Mailing Address - Street 1:4425 SE 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4425 SE 27TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3607
Practice Address - Country:US
Practice Address - Phone:253-249-5002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty