Individual
CAROLYNN KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D
Contact information
Practice address
405 E PINE ST, STOCKTON, CA 95204-5522
(209) 464-5519
Mailing address
3601 PACIFIC AVE, STOCKTON, CA 95211-0197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-04-1921
CA
103TC0700X
Clinical Psychologist
Primary
18100
CA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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