Ilena Servin
Behavior Technician
4880 Market St
Ventura
, California 93003-7783
Ilena Servin
Behavior Technician
4880 Market St
Ventura
, California 93003-7783
(805) 644-7827
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Ilena Servin
- 4880 Market St
- Ventura, CA
- Zip : 93003-7783
- Phone : (805) 644-7827
Second Address
- Ilena Servin
- 4880 Market St
- Ventura, CA
- Zip : 93003-7783
- Phone : (805) 644-7827
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003326026 |
|---|---|
| Provider Name | Ilena Servin |
| First Address | Ventura, CA 93003-7783 |
| Second Address | Ventura, CA 93003-7783 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2017 |
| Last Update Date | 15/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 45-3589857 | THE HOLMAN GROUP (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.