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Individual

ANGELA ELIZABETH PHIENSINH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2241 RIVER TRAILS CIR, RANCHO CORDOVA, CA 95670-2222
(916) 755-9405
Mailing address
2241 RIVER TRAILS CIR, RANCHO CORDOVA, CA 95670-2222
(916) 755-9405

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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