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Elizabeth Ibanez

Behavior Technician in Alhambra, CA. Individual provider (NPI-1).

NPI number1891684635
StatusActive
Last updated in NPPESJun 28, 2025

Details

NPI
1891684635
Entity type
Individual (NPI-1)
Name
Elizabeth Ibanez
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2025
Certification date
Jun 27, 2025
Last updated
Jun 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1000 S Fremont Ave Bldg A-10
Alhambra, CA 91803-8800

Phone 626-759-9154 · Fax 626-759-9154

Mailing address

1000 S Fremont Ave Bldg A-10
Alhambra, CA 91803-8800

Phone 626-759-9154

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