Individual
MRS. KIRSTEN ZEDLAR VANDERZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418B W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(704) 780-4271
Mailing address
3502 BROOKLAND DR, CLEMMONS, NC 27012-8705
(336) 655-9579
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1393
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/19/2019
Last updated
08/08/2024
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