Individual
ELBRIDGE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6000
(802) 488-6919
Mailing address
102 S WINOOSKI AVE, BURLINGTON, VT 05401-7406
(802) 488-6934
(802) 488-6000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134297
VT
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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