Eden Shanay Ice
Eden Shanay Ice is a Behavior Technician in San Diego, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1733 Euclid AveSan Diego, CA 92105-5414
Phone: (619) 263-0433
Fax: (619) 263-3992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1205420684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 25, 2021 |
| Last updated in NPPES | June 16, 2025 |
| Certification date | June 16, 2025 |
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