NPI 1265029227
Amy Mae Ivas
Practice location
- Address
- 117 Bayberry Ln, Londonderry, NH 03053-4604
- Phone
- (978) 856-5789
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1265029227
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Dec 2020
- Record last updated
- 23 Dec 2020
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.