NPI 1932667094

Kelley T Wassick

Practitioner Behavior Analyst Colchester, VT

Practice location

Address: 462 Hegeman Ave, Colchester, VT 05446-3187
Phone: (207) 239-8603
Mailing address: 21600 Oxnard St, Woodland Hills, CA 91367-4976

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 73083265 (VT)

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Registry record

NPI: 1932667094
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2019
Record last updated: 7 Mar 2019

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.