Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Ibanez

Individual provider Behavior Technician · NPI 1265043392

Nicole Ibanez is a Behavior Technician in Sanford, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1590 Tropic Park Dr
Sanford, FL 32773-6323
Phone: (407) 202-2220
Fax: (407) 369-4307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 N Highland St, Mount Dora, FL 32757-5764 — (352) 720-5194

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1265043392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2020
Last updated in NPPESSeptember 13, 2022
Certification dateAugust 31, 2022
Mailing address121 N Highland St, Mount Dora, FL 32757-5764

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