Provider Demographics
NPI:1467726976
Name:SAINT, KATHERINE JO (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JO
Last Name:SAINT
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 1:214 E MILLARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961-1855
Mailing Address - Country:US
Mailing Address - Phone:920-284-7951
Mailing Address - Fax:
Practice Address - Street 1:1887 SUSAN AVE
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-1541
Practice Address - Country:US
Practice Address - Phone:920-284-7951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5171-125101YP2500X
WI1-12-1018103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty