Individual
ANGELA MITASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 W CAMPBELL RD STE 300, RICHARDSON, TX 75080-2995
(833) 646-3222
Mailing address
224 W 35TH ST STE 500, NEW YORK, NY 10001-2538
(833) 646-3222
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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