Individual
JENNIFER D VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1800 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 322-2372
(940) 322-3578
Mailing address
1808 ROSE ST, WICHITA FALLS, TX 76301-4219
(940) 723-4488
(940) 723-4490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0114127
TX
Other
Enumeration date
07/08/2011
Last updated
10/09/2012
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