Individual
MRS. KIMBERLY LAUREN WENERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
210 BELLEFONTE AVE, WILMINGTON, DE 19809-2502
(302) 762-2636
Mailing address
1601 W 10TH ST, WILMINGTON, DE 19805-2707
(717) 448-5506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39330
DE
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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