Individual
ABBY VANDENELZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1002 S FISK ST, GREEN BAY, WI 54304-2270
(920) 497-0117
Mailing address
1002 S FISK ST, GREEN BAY, WI 54304-2270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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