Ivana L Guanzon
Behavior Technician in Jacksonville, FL. Individual provider (NPI-1).
NPI number1043736747
StatusActive
Last updated in NPPESAug 15, 2017
Details
- NPI
- 1043736747
- Entity type
- Individual (NPI-1)
- Name
- Ivana L Guanzon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2017
- Last updated
- Aug 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3437 Miruelo Cr. N.Jacksonville, FL 32217
Phone 855-832-6727
Mailing address
4575 Se Dixie HwyStuart, FL 34997-6826
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