Van Deventer, Andrea
Van Deventer, Andrea is an individual health care provider with primary practice located at 4943 N 29Th E , Idaho Falls ID 83401-1314. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Van Deventer, Andrea can be contacted via phone (307) 257-5487.Contact Information
Primary practice address
4943 N 29Th E
Idaho Falls ID 83401-1314
Phone: (307) 257-5487
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-65923 | Idaho |
Profile Details
| NPI number | 1427820208 |
|---|---|
| LBN Legal business name | Van Deventer, Andrea |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2023 |
| Last updated | Oct 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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