Provider Demographics
NPI:1528459930
Name:LOWE, KASEY (BCBA)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:KASEY
Other - Middle Name:ELLEN
Other - Last Name:SIEMSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:516A N HORTON PKWY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37034-3310
Mailing Address - Country:US
Mailing Address - Phone:504-931-4699
Mailing Address - Fax:954-342-0273
Practice Address - Street 1:516A N HORTON PKWY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:TN
Practice Address - Zip Code:37034-3310
Practice Address - Country:US
Practice Address - Phone:504-931-4699
Practice Address - Fax:954-342-0273
Is Sole Proprietor?:No
Enumeration Date:2015-02-08
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN816103K00000X
1-15-21059103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst