Ivis Fullard
Ivis Fullard is a Behavior Technician in Vineland, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
629 E Wood St Ste 205Vineland, NJ 08360-3752
Phone: (856) 308-3139
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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 | 1134997596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 15, 2023 |
| Last updated in NPPES | December 15, 2023 |
| Certification date | December 15, 2023 |
| Mailing address | 629 E Wood St Ste 205, Vineland, NJ 08360-3752 |
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Angelina K Fox
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