Individual
KATHRYN J VONKAMPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 BAUMGARTNER RD, HARRIMAN, TN 37748-7015
(631) 617-9145
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12471085
TN
103K00000X
Behavior Analyst
1492
TN
106S00000X
Behavior Technician
RBT-21-187574
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-187574
BACB
TN
Enumeration date
03/01/2022
Last updated
03/19/2024
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