IndividualActive
Kelley Kautzman
NPI 1285072157 · Behavior Technician · Cosmopolis, WA
Provider details
- NPI number
- 1285072157
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
Practice location
106 F Street
Cosmopolis, WA 98537
Phone: (360) 915-6868
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 136
Westport, WA 98595-0136
Additional practice locations (1)
- 2580 S Montesano StWestport, WA 98595-9746Phone: (360) 268-9125
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2020-12-01
- Certified
- 2020-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.