Individual
MS. ANGELA FULGENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1036 MERCED RIVER RD, CHULA VISTA, CA 91913-2844
(619) 756-0312
Mailing address
1036 MERCED RIVER RD, CHULA VISTA, CA 91913-2844
(619) 756-0312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32475
CA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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