Evan Anthony Ibarra
Evan Anthony Ibarra is a Behavior Technician in San Mateo, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
181 2nd Ave Ste 484San Mateo, CA 94401-3814
Phone: (866) 523-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1023771649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2021 |
| Last updated in NPPES | October 20, 2021 |
| Certification date | October 20, 2021 |
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