Individual
JENNIFER MARIE IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22845 SE 1ST PL APT 215, SAMMAMISH, WA 98074-5038
(805) 668-8961
Mailing address
22845 SE 1ST PL APT 215, SAMMAMISH, WA 98074-5038
(805) 668-8957
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
AB61000310
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/31/2018
Last updated
12/01/2021
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