Healthcare Provider Details

I. General information

NPI: 1194066746
Provider Name (Legal Business Name): KATHRYN HAMMONDS M.S. BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 SEARCY WAY
BOWLING GREEN KY
42103-7168
US

IV. Provider business mailing address

1151 ANGELICA ST
BOWLING GREEN KY
42104-5594
US

V. Phone/Fax

Practice location:
  • Phone: 615-336-5095
  • Fax:
Mailing address:
  • Phone: 615-336-5095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number603
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number11
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: