Individual
ANGELA KEPPOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3708 CONWAY RD, ORLANDO, FL 32812-7608
(407) 389-9966
(407) 960-3009
Mailing address
840 BEACON ST NW, PALM BAY, FL 32907-7887
(321) 747-8246
(407) 960-3009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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