Individual
JEREMY TRETIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 GALLISON HILL RD, MONTPELIER, VT 05602-8352
(203) 910-4088
Mailing address
288 GALLISON HILL RD, MONTPELIER, VT 05602-8352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0120149
VT
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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