Individual
ANGEL KATELYN MINERVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL 34711-5390
(407) 720-5067
Mailing address
16470 GLASSY LOCH LOOP, CLERMONT, FL 34714-6608
(321) 289-2551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53880
FL
106S00000X
Behavior Technician
RBT-17-42286
FL
Other
Enumeration date
03/28/2018
Last updated
10/29/2025
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