Organization
KINGDOM AUTISM AND BEHAVIORAL HEALTH, LLC
Active
Other names
Daffinrud Consulting, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY DAFFINRUD BCBA, LBA (CLINICAL DIRECTOR)
(802) 999-2513
Entity
Organization
Contact information
Practice address
397 RAILROAD STREET, SUITE NUMBER #4, ST. JOHNSBURY, VT 05819
(802) 999-2513
Mailing address
878 RIDGE ROAD, LYNDONVILLE, VT 05851
(802) 999-2513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0126738
VT
Other
Enumeration date
01/24/2017
Last updated
05/01/2018
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