Provider Demographics
NPI:1699133967
Name:GREEN MOUNTAIN CONSULTING LLC
Entity type:Organization
Organization Name:GREEN MOUNTAIN CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:802-793-8307
Mailing Address - Street 1:PO BOX 75
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05669-0075
Mailing Address - Country:US
Mailing Address - Phone:802-793-8307
Mailing Address - Fax:
Practice Address - Street 1:288 GALLISON HILL RD
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-8352
Practice Address - Country:US
Practice Address - Phone:802-793-8307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1041520103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty