Provider Demographics
NPI:1821763731
Name:KUHN, CASEY RAE (BCBA)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:RAE
Last Name:KUHN
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 1:1001 BROAD ST STE 210
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-2437
Mailing Address - Country:US
Mailing Address - Phone:814-440-4733
Mailing Address - Fax:
Practice Address - Street 1:1001 BROAD ST STE 210
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15906-2437
Practice Address - Country:US
Practice Address - Phone:814-440-4733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01-06-2651103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst