Individual
HANNAH SUE VANDENBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 SPRING ST, PETOSKEY, MI 49770-2881
(616) 322-7358
Mailing address
1195 DAM RD, BOYNE CITY, MI 49712-9613
(616) 322-7358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001701
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/04/2019
Last updated
02/11/2026
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