Individual
JENNIFER VANTOL
Active
Individual
JENNIFER VANTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
5201004409
MI
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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