Healthcare Provider Details

I. General information

NPI: 1801577606
Provider Name (Legal Business Name): KATHERINE ANTHONY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE YOHN

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 24TH ST W STE 1-1181
BILLINGS MT
59102-4771
US

IV. Provider business mailing address

10 LOOMIS ST
RARITAN NJ
08869-2005
US

V. Phone/Fax

Practice location:
  • Phone: 308-399-7045
  • Fax:
Mailing address:
  • Phone: 908-399-7045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00095100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: