Individual
KRISTEN JOAN BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA-VT
Contact information
Practice address
25 LILY LN APT 1, MORRISVILLE, VT 05661-8486
(802) 696-2295
Mailing address
25 LILY LN APT 1, MORRISVILLE, VT 05661-8486
(802) 696-2295
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134210
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881273233
—
VT
Enumeration date
04/05/2021
Last updated
03/26/2025
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