Organization
IVORY BEHAVIOR GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSSA MINICK BCBA (BCBA)
(413) 204-9941
Entity
Organization
Contact information
Practice address
4420 WHEATBUD WAY, JOSHUA, TX 76058-4599
(413) 204-9941
Mailing address
4420 WHEATBUD WAY, JOSHUA, TX 76058-4599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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