Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 146.0134239 | VT |
NPI | 1003573197 |
---|---|
Provider Name | Emily Messier |
First Address | Saint Albans, VT 05478-0150 |
Second Address | Montpelier, VT 05602-3684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2021 |
Last Update Date | 23/11/2021 |