Provider Demographics
NPI:1831716075
Name:WATSON, KARI MARTHA (MS, BCBA)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:MARTHA
Last Name:WATSON
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:MARTHA
Other - Last Name:TSCHIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,BCBA
Mailing Address - Street 1:2419 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEVIDEO
Mailing Address - State:MN
Mailing Address - Zip Code:56265-2619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2419 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MONTEVIDEO
Practice Address - State:MN
Practice Address - Zip Code:56265-2619
Practice Address - Country:US
Practice Address - Phone:507-339-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-04
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst