Provider Demographics
NPI:1023437050
Name:LALONDE, KATHERINE (MA, BCBA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LALONDE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5007
Mailing Address - Country:US
Mailing Address - Phone:616-405-7786
Mailing Address - Fax:
Practice Address - Street 1:803 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5007
Practice Address - Country:US
Practice Address - Phone:616-405-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-14-15969103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst