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Ivan Hernandez Garcia

Behavior Analyst in Fort Myers, FL. Individual provider (NPI-1).

NPI number1235626540
StatusActive
Last updated in NPPESDec 11, 2020

Details

NPI
1235626540
Entity type
Individual (NPI-1)
Name
Ivan Hernandez Garcia
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2018
Certification date
Dec 11, 2020
Last updated
Dec 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––

Practice location

11328 Lakeland Cir
Fort Myers, FL 33913-6913

Phone 239-691-6482

Mailing address

1162 Hancock Creek South Blvd Apt 104
Cape Coral, FL 33909-5193

Phone 239-384-2344

Other practice locations

614 Se 47th St Apt 3
Cape Coral, FL 33904

Phone 239-384-2344

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