Individual
MACKENZIE ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18860 NORDHOFF ST, NORTHRIDGE, CA 91324-3811
(714) 679-2549
Mailing address
18860 NORDHOFF ST, NORTHRIDGE, CA 91324-3811
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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