Individual
IBOYKA VAN KOOIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
5252 SPRUCE ST # 2F, PHILADELPHIA, PA 19139-4021
(512) 506-0280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
09/03/2025
Last updated
09/08/2025
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