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Contact Information

KATHRYN M BOVINO, M.A., B.C.B.A.
9466 BLACK MOUNTAIN RD STE 100
SAN DIEGO, CA92126-4550
 Phone: 858-689-2027
 Fax: 858-397-2172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for KATHRYN M BOVINO · (Female)

NPI # 1225244767
Status Active
Credentials M.A., B.C.B.A.
Entity Individual
Enumeration date 05/14/2007
Last updated 01/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1-17-26371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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