Provider Demographics
NPI:1851554604
Name:BESSETTE, KIMBERLY KAYE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:KAYE
Last Name:BESSETTE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8143 SW 69TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:KS
Mailing Address - Zip Code:66402-9525
Mailing Address - Country:US
Mailing Address - Phone:785-766-9636
Mailing Address - Fax:
Practice Address - Street 1:8143 SW 69TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:KS
Practice Address - Zip Code:66402-9525
Practice Address - Country:US
Practice Address - Phone:785-766-9636
Practice Address - Fax:785-766-9636
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst