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Individual

INGRID STANDIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(866) 523-4268
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(717) 999-9385
(717) 999-9385

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/17/2025
Last updated
10/17/2025
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