Theresa Vandervall
Theresa Vandervall is a Behavior Technician in Baltimore, Maryland. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
400 E Pratt St Fl 8Baltimore, MD 21202-3180
Phone: (866) 586-4861
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1578164133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2020 |
| Last updated in NPPES | November 2, 2020 |
| Certification date | November 2, 2020 |
| Mailing address | 3802 Arbutus Ave, Gwynn Oak, MD 21207-6354 |
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