Individual
VIRGINIA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1601 2ND AVE N STE 359, GREAT FALLS, MT 59401-3259
(406) 403-0087
Mailing address
2140 10TH AVE, HAVRE, MT 59501-5505
(406) 212-0229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12257546
MT
106S00000X
Behavior Technician
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-72655
RBT
MT
Enumeration date
04/23/2019
Last updated
09/02/2022
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