Individual
SANDRA VANDERGOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1000 S CLARKSON ST, DENVER, CO 80209-4304
(720) 341-0458
Mailing address
1000 S CLARKSON ST, DENVER, CO 80209-4304
(720) 341-0458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35069
—
Other
Enumeration date
02/13/2019
Last updated
03/28/2019
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