Provost, Kimberly Anne
Provost, Kimberly Anne is an individual health care provider with primary practice located at 147 Allen Brook Ln Ste 104 , Williston VT 05495-9211. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Provost, Kimberly Anne can be contacted via phone (802) 876-7111.Contact Information
Primary practice address
147 Allen Brook Ln Ste 104
Williston VT 05495-9211
Phone: (802) 876-7111
Fax: (802) 448-6905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | Vermont |
Profile Details
| NPI number | 1740911924 |
|---|---|
| LBN Legal business name | Provost, Kimberly Anne |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2022 |
| Last updated | Jun 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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