Individual
ANGELINA D FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N 145TH AVE APT 1046, GOODYEAR, AZ 85395-1628
(805) 315-5330
Mailing address
2100 N 145TH AVE APT 1046, GOODYEAR, AZ 85395-1628
(805) 315-5330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT25452023
AZ
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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