NPI 1013787936

Udaya Vanga

Practitioner Behavior Technician Bentonville, AR

Practice location

Address: 2703 SE Otis Corley Dr STE 11, Bentonville, AR 72712-3414
Phone: (479) 339-9678
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-313395 (AR)

Other Behavior Technician providers in Arkansas →

Registry record

NPI: 1013787936
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2024
Record last updated: 2 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.