Individual
LANDREE M CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 DEWEY ST, BENNINGTON, VT 05201-2222
(802) 379-5810
Mailing address
206 DEWEY ST, BENNINGTON, VT 05201-2222
(802) 379-5810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71522
VT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/24/2023
Last updated
02/27/2024
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