Individual provider · NPI-1

Melisa Acevedo Ibarra

Behavior Analyst · Gardena, CA

NPI number1164296182
StatusActive
Last updated in NPPESDec 23, 2023

Details

NPI
1164296182
Entity type
Individual (NPI-1)
Name
Melisa Acevedo Ibarra
Sex
Female
Sole proprietor
No
Enumeration date
Nov 9, 2023
Certification date
Dec 23, 2023
Last updated
Dec 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1515 W 190th St Ste 300
Gardena, CA 90248-4925

Phone 310-819-4523 · Fax 877-394-6799

Mailing address

1515 W 190th St Ste 300
Gardena, CA 90248-4925

Phone 310-819-4523 · Fax 877-394-6799

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