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Individual
ANGELICA COSSYLEON
Active
Individual
ANGELICA COSSYLEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACB585863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BABC585863
CA
Other
Enumeration date
01/15/2021
Last updated
10/16/2025
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