Provider Demographics
NPI:1023427291
Name:JANN, KATHRYN E (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:E
Last Name:JANN
Suffix:
Gender:F
Credentials:PHD, BCBA-D
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Mailing Address - Street 1:PO BOX 2161
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-2161
Mailing Address - Country:US
Mailing Address - Phone:239-218-0627
Mailing Address - Fax:
Practice Address - Street 1:1268 11TH ST UNIT 2103
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-3301
Practice Address - Country:US
Practice Address - Phone:941-404-3721
Practice Address - Fax:941-296-7285
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1023427291OtherNPI