NPI 1003557927

Ivy S Jean

Practitioner Behavior Technician Davie, FL

Practice location

Address: 8001 SW 36th St STE 9, Davie, FL 33328-1915
Phone: (954) 577-7790
Fax: (954) 577-7780

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003557927
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

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.