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Individual

ABBY VANDERKOOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6130 AQUARIUS AVE, FERNDALE, WA 98248-9243
(360) 684-4566
(360) 326-2205
Mailing address
444 S STATE ST APT 104, BELLINGHAM, WA 98225-6143

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229393
WA

Other

Enumeration date
01/19/2023
Last updated
01/19/2023
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