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Individual

STEPHANIE VONDEREMBSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-8315
(614) 355-8361
Mailing address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-8315
(614) 355-8361

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00421
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1473276
OH
Enumeration date
09/11/2009
Last updated
09/10/2018
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