Wisper Vanderwal

NPI #1003372947 in Novi, Michigan

Provider Information

NPI Number: 1003372947
Entity Type: Individual
Name: Wisper Vanderwal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 15, 2019
Last Updated: Feb 15, 2019

Practice Location

Address: 41521 W 11 MILE RD
City: Novi
State: Michigan
ZIP Code: 48375-1803
Phone: (248) 912-1640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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