Provider Demographics
NPI:1538745104
Name:WERNER, KIMBERLY SARA (BCBA)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SARA
Last Name:WERNER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3842 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1148
Mailing Address - Country:US
Mailing Address - Phone:201-874-9927
Mailing Address - Fax:
Practice Address - Street 1:4877 W SWAMP RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-9030
Practice Address - Country:US
Practice Address - Phone:267-454-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst