Individual
DR. ANGELA R MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,BCBA
Contact information
Practice address
1065 NELSON ST, JACKSONVILLE, FL 32205-6015
(813) 270-9210
Mailing address
1138 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5369
(904) 513-0154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-8487
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY9231
FL
Other
Enumeration date
07/30/2011
Last updated
01/30/2024
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