Individual
TIMOTHY HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Mailing address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21639
VT
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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