Individual
ALLISON PAIGE IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 W OAK ST, KISSIMMEE, FL 34741-6627
(407) 219-0402
Mailing address
100 KENBROOK WAY APT 308, DAVENPORT, FL 33896-5519
(530) 768-4728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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