(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003557927
Provider Name: IVY S JEAN
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 04/05/2022
Last Updated: 04/05/2022
Provider Practice Location
8001 SW 36TH ST STE 9
DAVIE
FL
333281915
Practice Location Phone/Fax
Phone: 9545777790
Fax: 9545777780
Provider Mailing Location
8001 SW 36TH ST STE 9
DAVIE
FL
333281915
Provider Mailing Phone/Fax
Phone: 9545777790
Fax: 9545777780