Ivan Gordo Melendrez
Ivan Gordo Melendrez is a Behavior Technician in Fullerton, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
713 W Commonwealth Ave Ste CFullerton, CA 92832-1612
Phone: (718) 879-4274
Fax: (714) 879-2274
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1588399422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2022 |
| Last updated in NPPES | July 22, 2022 |
| Certification date | July 22, 2022 |
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