Healthcare Provider Details

I. General information

NPI: 1992186993
Provider Name (Legal Business Name): LONI KUHN BCBA-D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2015
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 WINDSOR ST
SAN BERNARDINO CA
92407-3364
US

IV. Provider business mailing address

1638 WINDSOR ST
SAN BERNARDINO CA
92407-3364
US

V. Phone/Fax

Practice location:
  • Phone: 801-870-1793
  • Fax: 909-235-4762
Mailing address:
  • Phone: 801-870-1793
  • Fax: 909-235-4762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-05-2298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: