Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Nicole Herndon, RBT-17-27780

Individual provider Behavior Technician · NPI 1184114563

Katelyn Nicole Herndon, RBT-17-27780 is a Behavior Technician in Montgomery, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
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Practice location Address checks out

45 Hunter Dr
Montgomery, IL 60538-2059
Phone: (630) 608-8077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 17-27780 (IL)

Record details

NPI number1184114563
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT-17-27780
Sole proprietorYes
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018

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