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Individual

KATHRYN JONES MCQUILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
92 FARMVU DR, WHITE RIVER JUNCTION, VT 05001-6001
(802) 698-0200
Mailing address
20 LILY POND RD APT 3A, WHITE RIVER JUNCTION, VT 05001-6208
(603) 443-0879

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134416
VT
106E00000X
Assistant Behavior Analyst
147.0123018
VT

Other

Enumeration date
02/16/2024
Last updated
12/12/2024
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