Individual
ANNABELLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
397 RAILROAD ST, SAINT JOHNSBURY, VT 05819-1739
(802) 424-1042
Mailing address
69 PORTLAND ST, LANCASTER, NH 03584-3347
(603) 991-2267
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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