Individual
MRS. KIMBERLY A BORLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
610 MANTON AVE, SUITE 311, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-2152
Mailing address
610 MANTON AVE, SUITE 311, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-2152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7772
RI
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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