Individual
IVY ROSE MONDAZZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43062 N RIVER DR, SWEET HOME, OR 97386-9769
(541) 979-9872
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1589702
OR
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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