Mary C Vandewege, BCBA

NPI #1952737595 in Pooler, Georgia

Provider Information

NPI Number: 1952737595
Entity Type: Individual
Name: Mary C Vandewege, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Sep 15, 2013
Last Updated: Nov 4, 2016

Practice Location

Address: 270 DURHAM PARK WAY
City: Pooler
State: Georgia
ZIP Code: 31322-2196
Phone: (806) 790-8680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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