Amanda Marie Van Derbur

NPI #1952189607 in Fountain, Colorado

Provider Information

NPI Number: 1952189607
Entity Type: Individual
Name: Amanda Marie Van Derbur
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 14, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 901 N SANTA FE AVE
City: Fountain
State: Colorado
ZIP Code: 80817-1738
Phone: (719) 822-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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