Most Relevant Information
Provider Data
| NPI Number: | 1003326026 |
| Provider Name: | ILENA SERVIN BA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2017 |
| Last Updated: | 04/15/2019 |
Provider Practice Location
4880 MARKET ST
VENTURA
CA
930037783
Practice Location Phone/Fax
| Phone: | 8056447827 |
| Fax: |
Provider Mailing Location
4880 MARKET ST
VENTURA
CA
930037783
Provider Mailing Phone/Fax
| Phone: | 8056447827 |
| Fax: |