Destiny Kayla Ibarra

NPI #1558043547 in Banning, California

Provider Information

NPI Number: 1558043547
Entity Type: Individual
Name: Destiny Kayla Ibarra
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2023
Last Updated: Aug 1, 2023

Practice Location

Address: 770 WESLEY ST
City: Banning
State: California
ZIP Code: 92220-6162
Phone: (951) 743-4622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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