Individual
ANGELA SHOULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1302 FRANKLIN AVE STE 500, NORMAL, IL 61761-3551
(309) 452-0069
Mailing address
1302 FRANKLIN AVE STE 500, NORMAL, IL 61761-3551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68904
IL
Other
Enumeration date
05/01/2023
Last updated
11/02/2023
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