Provider Demographics
NPI:1457636219
Name:POSTEMSKI, DANA NICOLE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:NICOLE
Last Name:POSTEMSKI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:DANA
Other - Middle Name:NICOLE
Other - Last Name:HAUGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 FISHER POND ROAD
Mailing Address - Street 2:
Mailing Address - City:ST ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478
Mailing Address - Country:US
Mailing Address - Phone:802-524-6554
Mailing Address - Fax:
Practice Address - Street 1:107 FISHER POND ROAD
Practice Address - Street 2:
Practice Address - City:ST ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478
Practice Address - Country:US
Practice Address - Phone:802-524-6554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1-11-8717103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst