Ibanez, Evelyn

Ibanez, Evelyn is an individual health care provider with primary practice located at 35201 Lido Blvd , Newark CA 94560. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ibanez, Evelyn can be contacted via phone (650) 921-3664.

Contact Information

Primary practice address
35201 Lido Blvd Newark CA 94560
Phone: (650) 921-3664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1942788971
LBN Legal business name Ibanez, Evelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Aug 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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