Organization
VONTEDDU ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNI VONTEDDU (CEO)
(612) 965-8349
Entity
Organization
Contact information
Practice address
9065 LYNDALE AVE S, BLOOMINGTON, MN 55420-3502
(952) 395-3326
(952) 395-3556
Mailing address
9065 LYNDALE AVE S, BLOOMINGTON, MN 55420-3502
(952) 395-3326
(952) 395-3556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/19/2022
Last updated
07/10/2024
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