Organization
SD ASSOCIATES LLC
Active
Organization
SD ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LOUIS POWSNER MED, BCBA (OWNER / AGENT / CLINICAL DIRECTOR)
(802) 236-0121
Entity
Organization
Contact information
Practice address
4049 WILLISTON RD STE 8, SOUTH BURLINGTON, VT 05403-6048
(802) 236-0121
(802) 315-0066
Mailing address
PO BOX 4169, WHITE RIVER JUNCTION, VT 05001-4169
(802) 236-0121
(802) 315-0066
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/12/2011
Last updated
03/21/2013
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