| NPI | 1851890628 |
|---|---|
| Doing Business As | IVY BEHAVIORAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EMILY GOSSER IVY CEO/Owner 772-208-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 1-12-11892) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2021-05-06 |