Provider Demographics
NPI:1508164526
Name:WEBB, KATHRYN DEVEREAUX (MS ED BCBA)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:DEVEREAUX
Last Name:WEBB
Suffix:
Gender:F
Credentials:MS ED BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03291-6111
Mailing Address - Country:US
Mailing Address - Phone:603-828-7984
Mailing Address - Fax:
Practice Address - Street 1:407 STAGE RD
Practice Address - Street 2:
Practice Address - City:WEST NOTTINGHAM
Practice Address - State:NH
Practice Address - Zip Code:03291-6111
Practice Address - Country:US
Practice Address - Phone:603-828-7984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst