Taylor Marie Van Dera, M.A, BCBA

NPI #1487480356 in Kimberly, Wisconsin

Provider Information

NPI Number: 1487480356
Entity Type: Individual
Name: Taylor Marie Van Dera, M.A, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: M.A, BCBA
Enumeration Date: Sep 9, 2024
Last Updated: Sep 9, 2024

Practice Location

Address: 569 CARTER CT
City: Kimberly
State: Wisconsin
ZIP Code: 54136-2201
Phone: (920) 739-3009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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