Provider Demographics
NPI:1679354369
Name:ROBINSON, KATHERINE LOUISE SOUTH (EDD, BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LOUISE SOUTH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:EDD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1914
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24402-1914
Mailing Address - Country:US
Mailing Address - Phone:804-721-4261
Mailing Address - Fax:
Practice Address - Street 1:722 ALLEGHANY AVE
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-3135
Practice Address - Country:US
Practice Address - Phone:804-721-4261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000076103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst