Madison Vandervennet, M.S., QBHP
Behavior Analyst · Clarkston, MI
Practice location
4998 Tiohero BlvdClarkston, MI 48348-3382
- Phone
- (248) 807-3102
NPI record
- NPI
- 1669826582
- Entity type
- Individual (Type 1)
- Enumeration date
- April 17, 2016
- Last updated
- August 19, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | — |
| Other Technician | 247200000X |
— | — |
Other practice locations (1)
- 5093 Waterford Rd, Clarkston, MI 48346-3460 · (248) 807-3102
About Madison Vandervennet
Madison Vandervennet, M.S., QBHP is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4998 Tiohero Blvd, Clarkston, MI 48348-3382. The NPI number 1669826582 was assigned on April 17, 2016 and the record was last updated on August 19, 2019.
Frequently asked questions
What is the NPI number of Madison Vandervennet, M.S., QBHP?
The NPI number is 1669826582.
What is the phone number of Madison Vandervennet?
The phone number listed for the practice location is (248) 807-3102.
Where is Madison Vandervennet located?
4998 Tiohero Blvd, Clarkston, MI 48348-3382.
What is the taxonomy code for Madison Vandervennet?
The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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