Individual
KATE VENNERGRUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4528 PLANK RD # B-C, FREDERICKSBURG, VA 22407-0141
(540) 755-2937
Mailing address
4528 PLANK RD # B-C, FREDERICKSBURG, VA 22407-0141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001466
VA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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