Individual
ANGIE NICOLE MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
Mailing address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
06/03/2026
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