Individual
ANGELINA FRANCISCA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE SW, CENTRALIA, WA 98531-4554
(360) 330-9044
Mailing address
3115 IVES RD APT E4, CENTRALIA, WA 98531-9424
(360) 324-3168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
07/08/2020
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