Individual provider · Type 1 NPI

Katelynne Ketchum, RBT

Foster Care Agency · Flagstaff, AZ

NPI number 1003579384 Active

Practice location

3480 E Route 66
Flagstaff, AZ 86004-4032

Call (928) 438-9985 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-21-188875 (AZ)
Child Mental Illness Respite Care 385HR2055XNone listed
Foster Care Agency Primary 253J00000XNone listed

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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About NPI 1003579384

Katelynne Ketchum, RBT's National Provider Identifier is 1003579384, issued on Oct 14, 2021. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Mar 2, 2026.