Individual
TINA MARIE VANKEMPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 BRICK CHURCH RD, TROY, NY 12180-8111
(518) 898-4430
Mailing address
2 COMPUTER DR W STE 210, ALBANY, NY 12205-1622
(888) 805-0759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CN74699Y
—
NY
Enumeration date
03/08/2021
Last updated
03/10/2021
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