Individual
JOELENE IBANEZ-SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5140 N FRUIT AVE, FRESNO, CA 93711-3022
(510) 652-7445
Mailing address
2354 POWELL ST, EMERYVILLE, CA 94608-1738
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
08/24/2022
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