Individual
CHELSEA RAE VONDEISENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 HAMILTON AVE FL 3, PALO ALTO, CA 94301-2583
(408) 674-6591
Mailing address
91 BENTLEY AVE, LOS GATOS, CA 95030-6002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
08/29/2022
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