MISS IVANA BUSTAMANTE

Behavior Technician

Active Individual
NPI: 1639872310

Practice Address

1150 S KING RD # 152
San Jose, CA 95122

Phone: (408) 622-9222

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1639872310 is the National Provider Identifier for MISS IVANA BUSTAMANTE, a Behavior Technician provider located in San Jose, CA. This NPI was enumerated on March 22, 2023.
MISS IVANA BUSTAMANTE practices at 1150 S KING RD # 152, San Jose, CA 95122.

Quick Facts

NPI
1639872310
Type
Individual
Enumerated
Mar 22, 2023
Last Updated
Mar 22, 2023

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