Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kory Fitzgerald Vanderpool

Individual provider Behavior Technician · NPI 1043032352

Kory Fitzgerald Vanderpool is a Behavior Technician in Petaluma, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1425 N McDowell Blvd Ste 206
Petaluma, CA 94954-6525
Phone: (855) 223-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1043032352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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