Provider Demographics
NPI:1558614297
Name:DESMOND, KATE LYNN (BCBA)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:LYNN
Last Name:DESMOND
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:LYNN
Other - Last Name:ROWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 WARNER HILL RD
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4716
Mailing Address - Country:US
Mailing Address - Phone:603-425-7587
Mailing Address - Fax:
Practice Address - Street 1:147 WARNER HILL RD
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-4716
Practice Address - Country:US
Practice Address - Phone:603-425-7587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst