Organization
CRYSTAL ANGELS BEHAVIOR CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADIANYS CARRAZANA RAMIREZ (PRESIDENT)
(786) 815-7704
Entity
Organization
Contact information
Practice address
1501 SE 21ST LN, CAPE CORAL, FL 33990-4667
(786) 815-7704
Mailing address
1501 SE 21ST LN, CAPE CORAL, FL 33990-4667
(786) 815-7704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/18/2020
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