Ean Antulio Iboy, GED

NPI #1386324531 in Bristol, Tennessee

Provider Information

NPI Number: 1386324531
Entity Type: Individual
Name: Ean Antulio Iboy, GED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: GED
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 1101 VOLUNTEER PKWY STE 5-146
City: Bristol
State: Tennessee
ZIP Code: 37620-4770
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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