Spring Breanna Ivy
Spring Breanna Ivy is a Behavior Technician in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2019.
- Licensed in
- LA
- In the registry since
- 2019
Practice location Address checks out
1003 Hugh Wallis Rd S Ste B2Lafayette, LA 70508-2528
Phone: (337) 205-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 011390972 (LA) |
|---|
Record details
| NPI number | 1376109173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 16, 2019 |
| Last updated in NPPES | May 16, 2019 |
| Mailing address | 1003 Hugh Wallis Rd S Ste B2, Lafayette, LA 70508-2528 |
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1003 Hugh Wallis Rd S Ste B2, Lafayette, LA 70508-2528 · (337) 205-4444