| Behavioral Roots, Llc | |
|
31 Highland Cir Springfield VT 05156-8846 | |
| (802) 230-5597 | |
| Not Available |
| Full Name | Behavioral Roots, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 31 Highland Cir, Springfield, Vermont |
| Authorized Official Name and Position | Ashley Root (OWNER) |
| Authorized Official Contact | 8023763582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Roots, Llc 31 Highland Cir Springfield VT 05156-8846 Ph: (802) 230-5597 | Behavioral Roots, Llc 31 Highland Cir Springfield VT 05156-8846 Ph: (802) 230-5597 |
| NPI Number | 1790523413 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790523413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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