Individual
ANGELA CHRISTINE MACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
16946 SHERMAN WAY, VAN NUYS, CA 91406-3613
(818) 401-0661
(818) 401-0663
Mailing address
25025 1/4 EVERETT DR, NEWHALL, CA 91321-3465
(818) 267-7298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31170
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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