Individual
ANGELA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED
Contact information
Practice address
21 EVERETT RD, CAMPBELL HALL, NY 10916-2111
(917) 723-9168
Mailing address
21 EVERETT RD, CAMPBELL HALL, NY 10916-2111
(917) 723-9168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
952628151
NY
103K00000X
Behavior Analyst
Primary
952909151
NY
Other
Enumeration date
01/28/2016
Last updated
08/30/2020
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