NPI 1952965501

Willow Quirin East

Practitioner Behavior Technician Colchester, VT

Practice location

Address: 462 Hegeman Ave, Colchester, VT 05446-3187
Phone: (802) 992-9159

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1952965501
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 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.