Individual
ANGELICA ROXANN UPSHAW-LEGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 AUBURN FOLSOM RD, AUBURN, CA 95603-5515
(530) 786-7050
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F5770540
CA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97274550D16126
ANTHEM BLUE CROSS
CA
Enumeration date
04/23/2019
Last updated
04/23/2019
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