MS. Ivori Leann Black
NPI #1164990420 in Cedar City, Utah
Provider Information
- NPI Number
- 1164990420
- Entity Type
- Individual
- Name
- MS. Ivori Leann Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Nov 5, 2018
Practice Location
- Address
- 54 N 200 E
- City
- Cedar City
- State
- Utah
- ZIP Code
- 84720-2615
- Phone
- (435) 586-2515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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