Provider Demographics
NPI:1235508417
Name:LODOLINI-KHO, ANN (BCBA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:LODOLINI-KHO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 282947
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94128
Mailing Address - Country:US
Mailing Address - Phone:415-548-3056
Mailing Address - Fax:
Practice Address - Street 1:18630 SUTTER BLVD STE 150
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-2984
Practice Address - Country:US
Practice Address - Phone:415-548-3056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst