Provider Demographics
NPI:1982971776
Name:BUHROW, KAORI (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KAORI
Middle Name:
Last Name:BUHROW
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:KAORI
Other - Middle Name:
Other - Last Name:LEACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:8860 HIBISCUS CT
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-5631
Mailing Address - Country:US
Mailing Address - Phone:571-598-0228
Mailing Address - Fax:
Practice Address - Street 1:8860 HIBISCUS CT
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-5631
Practice Address - Country:US
Practice Address - Phone:571-598-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1118497103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst