Provider Demographics
NPI:1801577606
Name:ANTHONY, KATHERINE (BCBA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:YOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:923 HADDONFIELD RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2752
Mailing Address - Country:US
Mailing Address - Phone:908-399-7045
Mailing Address - Fax:
Practice Address - Street 1:1094 COUNTY ROAD 519
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825
Practice Address - Country:US
Practice Address - Phone:908-399-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst