Individual
ANGELINA MARIETTA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SUNJOY DR APT C6, HEMET, CA 92543-1810
(951) 441-7649
Mailing address
800 SUNJOY DR APT C6, HEMET, CA 92543-1810
(951) 758-0170
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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