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
- City
- Mary Esther
- State
- Florida
- ZIP Code
- 32569-1990
- Phone
- (850) 744-0118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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