Provider Demographics
NPI:1437517851
Name:KINDER, KAREN LAWES (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LAWES
Last Name:KINDER
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 1:45240 DEBBIE DR
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-7203
Mailing Address - Country:US
Mailing Address - Phone:909-615-5060
Mailing Address - Fax:
Practice Address - Street 1:45240 DEBBIE DR
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-7203
Practice Address - Country:US
Practice Address - Phone:909-615-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst