Organization
ANGEL BEHAVIORAL PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA CRISTINA RODRIGUEZ PASTO (MANAGER)
(305) 299-4249
Entity
Organization
Contact information
Practice address
1150 KING ROAD #40, 152, SAN JOSE, CA 95122
(408) 622-9222
(699) 202-3173
Mailing address
1150 KING ROAD #40, 152, SAN JOSE, CA 95122
(408) 622-9222
(699) 202-3173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
08/19/2021
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