Individual
ALETTA JACOBA MAGDELENA NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HOPE RD STE 215, STAFFORD, VA 22554-7287
(540) 225-1020
Mailing address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 574-4629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36871
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/16/2017
Last updated
10/07/2019
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