Individual
KIMBERLY THERRIAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
39 MECHANIC ST STE 400, WESTBROOK, ME 04092-2855
(207) 887-9113
Mailing address
316 MAINE ST, BRUNSWICK, ME 04011-3360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44617
ME
106S00000X
Behavior Technician
RBT-17-32290
CA
Other
Enumeration date
01/02/2018
Last updated
03/06/2026
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