Individual
MRS. ANGELA MARIE MOERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
7594 W SAND LAKE RD, ORLANDO, FL 32819-5188
(800) 875-1871
Mailing address
237 SHADY HOLW, CASSELBERRY, FL 32707-4305
(321) 439-1971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021264500
—
FL
Enumeration date
06/12/2017
Last updated
03/12/2020
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