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 |