Individual
EDEN ROSE VANDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 W 1130 S, OREM, UT 84058-3833
(618) 604-9722
Mailing address
1270 W 1130 S, OREM, UT 84058-3833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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