Provider Demographics
NPI:1346367018
Name:ALLEN, KATHRYN BROOKE (MED, BCBA)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:BROOKE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 HARPETH MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:KINGSTON SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37082-8919
Mailing Address - Country:US
Mailing Address - Phone:615-952-9007
Mailing Address - Fax:615-952-9007
Practice Address - Street 1:396 HARPETH MEADOWS DR
Practice Address - Street 2:
Practice Address - City:KINGSTON SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37082-8919
Practice Address - Country:US
Practice Address - Phone:615-952-9007
Practice Address - Fax:615-952-9007
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist