Provider Demographics
NPI:1801247911
Name:BARMANN, KATHERINE LYNN (MED BCBA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LYNN
Last Name:BARMANN
Suffix:
Gender:F
Credentials:MED BCBA
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LYNN
Other - Last Name:KOEHLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6101 W 76TH ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-4568
Mailing Address - Country:US
Mailing Address - Phone:501-551-1452
Mailing Address - Fax:
Practice Address - Street 1:6101 W 76TH ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-4568
Practice Address - Country:US
Practice Address - Phone:501-551-1452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS046103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst