Provider Demographics
NPI:1225303894
Name:HEARD, CATHERINE MINCH (PHD, BCBA-D)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MINCH
Last Name:HEARD
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:MINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, BCBA-D
Mailing Address - Street 1:12544 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6238
Mailing Address - Country:US
Mailing Address - Phone:949-285-9797
Mailing Address - Fax:225-269-2246
Practice Address - Street 1:12544 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6238
Practice Address - Country:US
Practice Address - Phone:225-257-9574
Practice Address - Fax:225-269-2246
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
1-07-3618103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist