Christian Ivie

NPI 1467977942 · on the registry since 2017 · sole proprietor

Practice

Address: 3152 Red Hill Ave Ste 100
Costa Mesa, CA 92626
Phone: (714) 881-0427
Organisation at this address: Peak Potential, Llc
Creative Solutions For Autism
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California