Provider Demographics
NPI:1316342587
Name:SCOTT, KATHRYN DUNHAM (MS BCBA)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:DUNHAM
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS BCBA
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:DUNHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2183 N NC 581 HWY
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-8760
Mailing Address - Country:US
Mailing Address - Phone:919-922-7561
Mailing Address - Fax:
Practice Address - Street 1:2183 N NC 581 HWY
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27863-8760
Practice Address - Country:US
Practice Address - Phone:919-922-7561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst