NPI 1407197031

Gregg Stoller, MSWBCBA

Practitioner Behavior Analyst Brattleboro, VT

Practice location

Address: 45 Spruce St, Brattleboro, VT 05301-6102
Phone: (802) 258-0276

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-12-12266 (VT)

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Registry record

NPI: 1407197031
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2013
Record last updated: 6 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.