Individual
MS. MARY-THERESE C VAN HOLLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.,BCBA
Contact information
Practice address
576 CYPRESS RD, VERO BEACH, FL 32963-1723
(772) 473-9830
Mailing address
576 CYPRESS RD, VERO BEACH, FL 32963-1723
(772) 473-9830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
06/10/2011
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