Organization
AHADI ANGELS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASINAH MACHARIA (DIRECTOR)
(512) 586-9406
Entity
Organization
Contact information
Practice address
405 WINTERFIELD DR # 204, ROUND ROCK, TX 78634
(512) 586-9406
Mailing address
405 WINTERFIELD DR # 204, ROUND ROCK, TX 78634
(512) 586-9406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27114686
STATE
TX
Enumeration date
01/28/2019
Last updated
01/28/2019
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