Individual
MARY AILEEN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
110 KIMBALL AVE STE 125, SOUTH BURLINGTON, VT 05403-6851
(802) 489-5395
Mailing address
43B FRANKLIN ST, WINOOSKI, VT 05404-1809
(802) 238-0950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146-0132046
VT
Other
Enumeration date
02/09/2017
Last updated
04/23/2024
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