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Kimberly Provost, BCABA

NPI 1740911924 · on the registry since 2022

Practice

Address
147 Allen Brook Ln Ste 104
Williston, VT 05495
Phone
(802) 876-7111
Fax
(802) 448-6905
Organisation at this address
New Leaf Developmental And Behavioral Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
106E00000X
106E00000X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont