Ivory Loeng-Loth
Behavior Technician in San Francisco, CA. Individual provider (NPI-1).
NPI number1194536748
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1194536748
- Entity type
- Individual (NPI-1)
- Name
- Ivory Loeng-Loth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2025
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2360 Irving StSan Francisco, CA 94122-1621
Phone 916-729-3098
Mailing address
1757 Fulton StSan Francisco, CA 94117-1203
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