Individual
ANGELA WESTBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-17-37744
Contact information
Practice address
8391 BLACKGUM ST, PARKER, CO 80134-8702
(303) 594-3931
Mailing address
8391 BLACKGUM ST, PARKER, CO 80134-8702
(303) 594-3931
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-37744
CO
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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