Individual
ALEXANDRA VANDERHEID-NYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
63156 LANCASTER ST, BEND, OR 97701-7066
(541) 728-3811
Mailing address
63156 LANCASTER ST, BEND, OR 97701-7066
(541) 728-3811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10241985
OR
Other
Enumeration date
11/27/2018
Last updated
05/23/2024
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