Individual
KATELIN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
288 GALLISON HILL RD, MONTPELIER, VT 05602-8352
(802) 223-6500
Mailing address
80 EASTWOOD DR APT 403, SOUTH BURLINGTON, VT 05403-4521
(253) 509-2639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134138
VT
106E00000X
Assistant Behavior Analyst
147.0123004
VT
Other
Enumeration date
10/03/2018
Last updated
01/17/2019
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