Individual
KRISTIN PROPHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61A MILL VILLAGE RD, SOUTH DEERFIELD, MA 01373-7941
(413) 825-9012
Mailing address
61A MILL VILLAGE RD, SOUTH DEERFIELD, MA 01373-7941
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67432
MA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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