Individual
ADAM TABENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 KIMBALL AVE STE 125, SOUTH BURLINGTON, VT 05403-6851
(802) 489-5395
Mailing address
360 ROUTE 101 STE 11, BEDFORD, NH 03110-5031
(603) 471-2522
(877) 754-5246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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