Provider Demographics
NPI:1447990569
Name:HOPKINS, KATHERINE (RBT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W VENTURA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-9140
Mailing Address - Country:US
Mailing Address - Phone:805-383-1497
Mailing Address - Fax:
Practice Address - Street 1:3065 ROSECRANS PL STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4822
Practice Address - Country:US
Practice Address - Phone:619-955-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT21156329106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician