Most Relevant Information
Provider Data
| NPI Number: | 1003455585 |
| Provider Name: | KRISTINA YVONNE VROOMAN CB61025277 |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | CB61025277 |
Most Important Dates
| Enumeration Date: | 12/31/2019 |
| Last Updated: | 12/31/2019 |
Provider Practice Location
6505 218TH ST SW STE 12
MOUNTLAKE TERRACE
WA
980432135
Practice Location Phone/Fax
| Phone: | 3606232196 |
| Fax: |
Provider Mailing Location
6505 218TH ST SW STE 12
MOUNTLAKE TERRACE
WA
980432135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |