Individual
KRISTIN LEE WEDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4134 LINDEN AVE, DAYTON, OH 45432-3043
(937) 365-7455
Mailing address
220 PARK DR, DAYTON, OH 45410-1316
(405) 664-2838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78306
OH
Other
Enumeration date
01/30/2023
Last updated
01/23/2025
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