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Individual
MS. KIMBERLY M POTTER
Active
Individual
MS. KIMBERLY M POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA LBA LBS
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002953
VA
103K00000X
Behavior Analyst
Primary
1084116
—
103K00000X
Behavior Analyst
2017015365
MO
103K00000X
Behavior Analyst
5610
TX
103K00000X
Behavior Analyst
BH006471
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133002953
VA LBA
VA
01
—
1-08-4116
BCBA
CO
01
—
2017015365
MO LBA
MO
01
—
5610
TX LBA
TX
01
—
BH006471
PA LBS
PA
Enumeration date
04/25/2011
Last updated
07/21/2026
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