Individual
CAMILE OGAMBA ANGWENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
77 S ST ANDREWS DR, ORMOND BEACH, FL 32174-3844
(386) 254-8788
(386) 226-2076
Mailing address
77 S ST ANDREWS DR, ORMOND BEACH, FL 32174-3844
(386) 254-8788
(386) 226-2076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019124900
—
FL
Enumeration date
04/03/2019
Last updated
04/03/2019
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