Individual
ILENE GOVEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 E BULLARD AVE STE 101, FRESNO, CA 93710-5864
(559) 970-8277
Mailing address
1752 E BULLARD AVE STE 101, FRESNO, CA 93710-5864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
7073
CA
Other
Enumeration date
11/05/2019
Last updated
02/23/2022
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