Provider Demographics
NPI:1427343268
Name:CROCE, KATHARINE M (M ED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:M
Last Name:CROCE
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Gender:F
Credentials:M ED, BCBA
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Mailing Address - Street 1:5600 CITY AVE
Mailing Address - Street 2:SAINT JOSEPH'S UNIVERISTY/KINNEY CENTER FOR AUTISM EDUC
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1308
Mailing Address - Country:US
Mailing Address - Phone:610-660-2170
Mailing Address - Fax:610-660-2175
Practice Address - Street 1:5600 CITY AVE
Practice Address - Street 2:SAINT JOSEPH'S UNIVERISTY/KINNEY CENTER FOR AUTISM EDUC
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1308
Practice Address - Country:US
Practice Address - Phone:610-660-2170
Practice Address - Fax:610-660-2175
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA1-06-3173103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst