Provider Demographics
NPI:1184385056
Name:LARABEE, CAROLYN CHRISTINA (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:CHRISTINA
Last Name:LARABEE
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-0150
Mailing Address - Country:US
Mailing Address - Phone:802-696-9391
Mailing Address - Fax:
Practice Address - Street 1:174 AVENUE C
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7840
Practice Address - Country:US
Practice Address - Phone:802-662-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT146.0134244103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst