Provider Demographics
NPI:1336354299
Name:ASBURY, KATHRYN E (BCBA, MS)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:E
Last Name:ASBURY
Suffix:
Gender:F
Credentials:BCBA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 BREDELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143-1114
Mailing Address - Country:US
Mailing Address - Phone:314-781-9316
Mailing Address - Fax:
Practice Address - Street 1:2143 BREDELL AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-1114
Practice Address - Country:US
Practice Address - Phone:314-781-9316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2013-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-13-13960103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst