| NPI | 1598149940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES OLSON Exectutive Director 802-451-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 00000000000000) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 068-0000656) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |