Individual
ANGELA MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
201 E RUDISILL BLVD STE B100, FORT WAYNE, IN 46806-1738
(260) 255-3665
(260) 255-3594
Mailing address
343 W SUTTENFIELD ST, FORT WAYNE, IN 46807-1339
(260) 255-3665
(260) 255-3594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46639
IN
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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