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Search › California › 103K00000X

Andrea Van Deventer, BCBA

NPI 1427820208 · on the registry since 2023

Practice

Address
22800 Lyons Ave Ste 110
Newhall, CA 91321
Phone
(818) 208-0164
Organisation at this address
David A Tanner Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
103K00000X
Licence states on file
ID, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California