Individual
CHLOE VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 OLD ALABAMA RD STE 1110, ROSWELL, GA 30076-2269
(770) 558-6055
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74082
GA
106E00000X
Assistant Behavior Analyst
0-21-12939
GA
106S00000X
Behavior Technician
RBT-19-95214
GA
Other
Enumeration date
09/10/2021
Last updated
11/14/2025
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