Elizabeth Ruth Vaillancourt Poultney

NPI #1619527066 in South Portland, Maine

Provider Information

NPI Number: 1619527066
Entity Type: Individual
Name: Elizabeth Ruth Vaillancourt Poultney
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 50 DONALD B DEAN DR
City: South Portland
State: Maine
ZIP Code: 04106-3373
Phone: (855) 345-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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