MS. Kimberly Anne Provost, BCABA

NPI #1740911924 in Williston, Vermont

Provider Information

NPI Number: 1740911924
Entity Type: Individual
Name: MS. Kimberly Anne Provost, BCABA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Assistant Behavior Analyst
Credential: BCABA
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 147 ALLEN BROOK LN STE 104
City: Williston
State: Vermont
ZIP Code: 05495-9211
Phone: (802) 876-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X	Primary

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