Provider Demographics
NPI:1740077734
Name:ZERINGUE, KATHRYN MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARIE
Last Name:ZERINGUE
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 W PARMER LN APT 414
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-4132
Mailing Address - Country:US
Mailing Address - Phone:337-380-6057
Mailing Address - Fax:
Practice Address - Street 1:14008 SHADOWGLEN BLVD STE 304306
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-3396
Practice Address - Country:US
Practice Address - Phone:512-865-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8312103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst