NPI 1629560016

Jeremy Tretiak

Practitioner Behavior Analyst Montpelier, VT

Practice location

Address: 288 Gallison Hill Rd, Montpelier, VT 05602-8352
Phone: (203) 910-4088

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 146.0120149 (VT)

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Registry record

NPI: 1629560016
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2018
Record last updated: 1 Jun 2018

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.