IVY GLAZE VIDAD
NPI 1700393428
Behavior Technician in Stockton, CA
About Ivy Glaze Vidad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY GLAZE VIDAD (NPI 1700393428) is an individual behavior technician in Stockton, California, licensed in California (1212345) and active in the NPI registry since January 2018.
NPPES Registry Identity
Specialties & Licenses
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.
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 Ivy Glaze Vidad's NPI number?
The NPI number for Ivy Glaze Vidad is 1700393428. It was assigned to this individual provider in the NPPES registry on January 3, 2018.
Where is Ivy Glaze Vidad located?
Ivy Glaze Vidad practices at 2453 Grand Canal Blvd Ste A, Stockton, CA 95207. The listed phone number is (855) 223-7123.
What is Ivy Glaze Vidad's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Ivy Glaze Vidad was last updated on August 19, 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.