Most Relevant Information
Provider Data
NPI Number: | 1003184292 |
Provider Name: | CHRISTINA VETTER RAISANEN |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 1-07-3354 |
Most Important Dates
Enumeration Date: | 12/02/2011 |
Last Updated: | 12/02/2011 |
Provider Practice Location
1138 PINE ST
BURLINGTON
VT
054015353
Practice Location Phone/Fax
Phone: | 8024886600 |
Fax: | 8024886919 |
Provider Mailing Location
208 FLYNN AVE
SUITE 3J
BURLINGTON
VT
054015429
Provider Mailing Phone/Fax
Phone: | |
Fax: |