IVAN PATRICK ELIAS MORELAND

GLENDALE, AZ
NPI1033721238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: AZ  RBT-19-95256)
Enumeration Date2020-08-19
Last Update Date2020-08-19
Business Address
IVAN PATRICK ELIAS MORELAND BA
5859 W TALAVI BLVD STE 180
GLENDALE, AZ 85306-1873
Phone number: 602-560-2836
Mailing Address
IVAN PATRICK ELIAS MORELAND BA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885