Individual
ANGELINA MICHELLE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E GORDON ST, VALDOSTA, GA 31601-4552
(850) 521-0242
Mailing address
PO BOX 10827, TALLAHASSEE, FL 32302-2827
(850) 521-0242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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