Individual
MS. JENNIFER ELIZABETH RIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
147 MAIN ST, WINDSOR, VT 05089-1338
(802) 738-5309
Mailing address
147 MAIN ST, WINDSOR, VT 05089-1338
(802) 738-5309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134170
VT
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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