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Individual

CATHERINE GRACE IVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
5449 S SEMORAN BLVD STE 205, ORLANDO, FL 32822-1778
(407) 917-7060
(407) 917-7060
Mailing address
5175 45TH ST N BLDG C, ST PETERSBURG, FL 33714-2266
(407) 917-7060

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
08/18/2017
Last updated
05/21/2021
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