Individual
IVAN ALEXANDER PADILLA
Active
Individual
IVAN ALEXANDER PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/16/2025
Last updated
05/10/2026
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