Madison Annelise Ibarra
NPI #1003594029 in Stockton, California
Provider Information
- NPI Number
- 1003594029
- Entity Type
- Individual
- Name
- Madison Annelise Ibarra
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jul 10, 2023
- Last Updated
- Mar 25, 2025
Practice Location
- Address
- 1212 N CALIFORNIA ST
- City
- Stockton
- State
- California
- ZIP Code
- 95202-1552
- Phone
- (209) 468-0103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
| Behavior Technician |
| Community Health Worker |
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