Individual
MRS. COURTNEY MARIE DAFFINRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
878 RIDGE ROAD, KIRBY, VT 05851
(802) 999-2513
Mailing address
878 RIDGE ROAD, KIRBY, VT 05851
(802) 999-2513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NH
103K00000X
Behavior Analyst
Primary
—
VT
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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