Individual
ANGELA PATRICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3020 CHILDRENS WAY, MC5042, SAN DIEGO, CA 92123-4223
(858) 966-7453
(858) 966-8011
Mailing address
3020 CHILDRENS WAY, MC5042, SAN DIEGO, CA 92123-4223
(858) 966-7453
(858) 966-8011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3632
CA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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