Individual
LOUIS VANDEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 APPLECROSS CT, MANCHESTER, MO 63021-7721
(312) 965-2997
Mailing address
640 GRASSMERE PARK STE 116, NASHVILLE, TN 37211-3678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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