PROF. Crystal Diamond Vandeventer

NPI #1750127544 in Romulus, Michigan

Provider Information

NPI Number: 1750127544
Entity Type: Individual
Name: PROF. Crystal Diamond Vandeventer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 2, 2024
Last Updated: Jul 2, 2024

Practice Location

Address: 18103 CEDAR ISLAND BLVD
City: Romulus
State: Michigan
ZIP Code: 48174-9583
Phone: (313) 585-1134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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