Provider Demographics
NPI:1720308539
Name:STENGEL, KATHLEEN BAILEY (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:BAILEY
Last Name:STENGEL
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3754 OAK GROVE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1003
Mailing Address - Country:US
Mailing Address - Phone:610-564-3894
Mailing Address - Fax:
Practice Address - Street 1:3754 OAK GROVE CT
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-1003
Practice Address - Country:US
Practice Address - Phone:610-564-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst