Ivanna Aymmet Barragan
Behavior Technician in San Mateo, CA. Individual provider (NPI-1).
NPI number1093676751
StatusActive
Last updated in NPPESNov 21, 2025
Details
- NPI
- 1093676751
- Entity type
- Individual (NPI-1)
- Name
- Ivanna Aymmet Barragan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2025
- Certification date
- Nov 21, 2025
- Last updated
- Nov 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
400 Concar Dr Ste 4-134San Mateo, CA 94402-2681
Phone 650-931-6300
Mailing address
400 Concar Dr Ste 4-134San Mateo, CA 94402-2681
Phone 650-931-6300
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