Individual
DANA SEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
35 AYERS BROOK RD, RANDOLPH, VT 05060-1040
(802) 728-4466
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18220
VT
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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