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Individual
IVANNA ANTEZANA
Active
Individual
IVANNA ANTEZANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MD
106S00000X
Behavior Technician
Primary
RBT-18-66178
MD
Other
Enumeration date
07/18/2019
Last updated
02/17/2026
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