Individual
ACACIA MILDRED METZ BOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 KIMBALL AVE STE 125, SOUTH BURLINGTON, VT 05403-6851
(802) 489-5395
Mailing address
360 ROUTE 101 STE 11, BEDFORD, NH 03110-5031
(603) 471-2522
(877) 754-5246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58623
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/01/2020
Last updated
11/18/2024
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