Katrina Ellen Ivins

NPI #1831737378 in Mary Esther, Florida

Provider Information

NPI Number
1831737378
Entity Type
Individual
Name
Katrina Ellen Ivins
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Dec 16, 2019
Last Updated
Dec 16, 2019

Practice Location

Address
124 E MIRACLE STRIP PKWY STE 202
State
Florida
ZIP Code
32569-1990
Phone
(850) 744-0118

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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