Individual
ANGELINA VAN VLYMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1389 W 86TH ST # 170, INDIANAPOLIS, IN 46260-2101
(317) 564-0934
(765) 807-7983
Mailing address
1389 W 86TH ST # 170, INDIANAPOLIS, IN 46260-2101
(317) 564-0934
(765) 807-7983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-25732
IN
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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