Individual
MRS. MCKENZIE B MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
174 AVENUE C, WILLISTON, VT 05495-7840
(662) 783-1802
Mailing address
F7 STONEHEDGE DR, SOUTH BURLINGTON, VT 05403-7368
(802) 345-1745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37321
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025330
—
VT
Enumeration date
11/12/2019
Last updated
07/21/2023
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