IVANA LICON
NPI 1659041044
Technician, Other in San Diego, CA

Active since September 16, 2021
501 W BROADWAY STE 800, SAN DIEGO, CA 92101(855) 832-6727 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivana Licon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVANA LICON (NPI 1659041044) is an individual technician, other provider in San Diego, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1659041044
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameIVANA LICON
Location Address501 W BROADWAY STE 800San Diego, CA 92101-3546
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (855) 832-6727
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
NPI 1659041044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
501 W BROADWAY STE 800, San Diego, CA 92101

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101
Behavior Technician
501 W BROADWAY STE 800
SAN DIEGO, CA 92101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivana Licon's NPI number?

The NPI number for Ivana Licon is 1659041044. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Ivana Licon located?

Ivana Licon practices at 501 W Broadway Ste 800, San Diego, CA 92101. The listed phone number is (855) 832-6727.

What is Ivana Licon's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Ivana Licon was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.