NPI 1740911924

Kimberly Anne Provost, BCABA

Practitioner Assistant Behavior Analyst Williston, VT

Practice location

Address: 147 Allen Brook Ln STE 104, Williston, VT 05495-9211
Phone: (802) 876-7111
Fax: (802) 448-6905

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

Other Assistant Behavior Analyst providers in Vermont →

Registry record

NPI: 1740911924
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2022
Record last updated: 20 Jun 2022

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.