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Individual

MICHAELA COLUMBIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 KIMBALL AVE STE 125, SOUTH BURLINGTON, VT 05403-6851
(603) 471-2522
Mailing address
360 ROUTE 101 STE 11, BEDFORD, NH 03110-5031
(603) 471-2522
(877) 754-5246

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/05/2020
Last updated
01/21/2022
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