Individual
LARISSA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4594
(802) 775-8224
(802) 747-7699
Mailing address
2236 FRANKLIN ST, BRANDON, VT 05733-9782
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134161
VT
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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