Individual
MRS. KATHRYN DENISE VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3641 VISTA VIEW CIR, SANTA CLARA, UT 84765-5655
(435) 767-7929
Mailing address
PO BOX 2000, SHINGLE SPRINGS, CA 95682-2000
(530) 748-9395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13419436-2506
UT
Other
Enumeration date
11/21/2010
Last updated
07/05/2023
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