Individual
CARMEN L BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
2542 VT ROUTE, NEWPORT CENTER, VT 05857
(802) 487-9421
Mailing address
124 E PONDEROSA CIR, BRANDON, SD 57005-1900
(810) 434-5334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134188
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146.0134188
BCBA LISENCE
VT
Enumeration date
01/06/2021
Last updated
01/06/2021
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