Ibanez, Vivian

Ibanez, Vivian is an individual health care provider with primary practice located at 1015 Nw 56Th Ter , Gainesville FL 32605-4481. 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, Vivian can be contacted via phone (352) 835-5520.

Contact Information

Primary practice address
1015 Nw 56Th Ter Gainesville FL 32605-4481
Phone: (352) 835-5520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-19872 Florida

Profile Details

NPI number 1205209038
LBN Legal business name Ibanez, Vivian
Credentials M.A., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2015
Last updated Aug 12th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205209038 NPPES
Florida MEDICAID 022846900

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