Individual
ANGELA LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 HOWARD RD STE B, MADERA, CA 93637-5163
(559) 330-2211
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234567
MEDICAL
CA
Enumeration date
07/30/2019
Last updated
07/30/2019
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