Mikenna June Vangelder, CBT

NPI #1356101513 in Spokane, Washington

Provider Information

NPI Number: 1356101513
Entity Type: Individual
Name: Mikenna June Vangelder, CBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: CBT
Enumeration Date: Mar 22, 2024
Last Updated: Sep 13, 2024

Practice Location

Address: 1720 N HAMILTON ST
City: Spokane
State: Washington
ZIP Code: 99207-2474
Phone: (866) 240-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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