Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Beth Fantazia

Individual provider Behavior Technician · NPI 1528521010

Katie Beth Fantazia is a Behavior Technician in Riverbank, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 521-4791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1528521010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 11, 2019
Last updated in NPPESApril 11, 2019

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