Individual
IVY WANJIRU WAIKWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 PILGRIM RD, BOSTON, MA 02215-4127
(857) 241-0048
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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