Ivy Glaze Vidad

  • NPI 1700393428
According to our database, the NPI number for Ivy Glaze Vidad is 1700393428 and activated since 6 years ago. Ivy Glaze Vidad is an individual provider who specializes in Behavior Technician, and the primary practice location is 2453 Grand Canal Blvd Ste A, Stockton, CA 95207. You can also contact Ivy Glaze Vidad via telephone number is (855) 223-7123. Provider NPI information was last updated on 08/19/2021.

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Overview of Ivy Glaze Vidad

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/03/2018
  • Last updated: 08/19/2021

Primary Scrop of Practice

  • Taxonomy Code: 106S00000X
  • Specialty: Behavior Technician
  • License Number: 1212345
  • License State: CA

Provider Mailing Address

  • Address: 16782 Von Karman Ave Ste 11
    Irvine, CA 92606
  • Phone: 855-223-7123
  • Fax:

Provider Practice Location

  • Address: 2453 Grand Canal Blvd Ste A
    Stockton, CA 95207
  • Phone: 855-223-7123
  • Fax:

Scope of Practice

  • Taxonomy Code: 106S00000X
  • Specialty: Behavior Technician
  • License Number: 1212345
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ivy Glaze Vidad?
  • A: The npi number for Ivy Glaze Vidad is 1700393428.
  • Q: What are Ivy Glaze Vidad's specialties?
  • A: Ivy Glaze Vidad's specialties are Behavior Technician and different specialities.
  • Q: What is the medical license for Ivy Glaze Vidad?
  • A: The medical license number for Ivy Glaze Vidad is 1212345 and issued in CA in USA.
  • Q: Where is Ivy Glaze Vidad practice location?
  • A: Ivy Glaze Vidad is practicing at 2453 Grand Canal Blvd Ste A, Stockton, CA 95207.
  • Q: How to contact Ivy Glaze Vidad?
  • A: You can contact Ivy Glaze Vidad via 855-223-7123.