Individual
JESSICA ELEANOR VANDEVANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
310 TALBOT CT, ABINGDON, MD 21009-2033
(703) 431-0004
Mailing address
310 TALBOT CT, ABINGDON, MD 21009-2033
(703) 431-0004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA460
MD
Other
Enumeration date
07/04/2017
Last updated
03/24/2023
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