Individual
ELLEN VANDELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6656 HOLT RD, NASHVILLE, TN 37211-6906
(615) 426-3607
(615) 678-8717
Mailing address
6656 HOLT RD, NASHVILLE, TN 37211-6906
(615) 426-3607
(615) 678-8717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11726137
TN
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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