Provider Demographics
NPI:1932474400
Name:HOFFMAN, KATHERINE JEAN (MA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:JEAN
Last Name:HOFFMAN
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 1:6107 MESA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3738
Mailing Address - Country:US
Mailing Address - Phone:512-771-4940
Mailing Address - Fax:
Practice Address - Street 1:6107 MESA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3738
Practice Address - Country:US
Practice Address - Phone:512-771-4940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-17
Last Update Date:2012-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-12-10432103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst