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1205209038
VIVIAN IBANEZ
GAINESVILLE, FL
NPI
1205209038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-15-19872)
Enumeration Date
2015-11-02
Last Update Date
2019-08-12
Business Address
VIVIAN IBANEZ M.A., BCBA
1015 NW 56TH TER
GAINESVILLE, FL 32605-4481
Phone number: 352-835-5520
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Mailing Address
VIVIAN IBANEZ M.A., BCBA
PO BOX 100256
GAINESVILLE, FL 32610-0256
Phone number: 352-265-4357
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