Avery Vandyke

NPI #1982385365 in Eustis, Florida

Provider Information

NPI Number: 1982385365
Entity Type: Individual
Name: Avery Vandyke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 27, 2023
Last Updated: Jul 27, 2023

Practice Location

Address: 2138 SANDRIDGE CIR
City: Eustis
State: Florida
ZIP Code: 32726-4486
Phone: (352) 405-6532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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