Ivanna Dora Conde

NPI #1992487631 in Rialto, California

Provider Information

NPI Number: 1992487631
Entity Type: Individual
Name: Ivanna Dora Conde
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 2, 2023
Last Updated: Aug 2, 2023

Practice Location

Address: 1142 W BUXTON ST
City: Rialto
State: California
ZIP Code: 92377-8833
Phone: (909) 419-0967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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