Organization
ANGELWOOD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE TUTTLE (EXECUTIVE DIRECTOR)
(904) 288-7259
Entity
Organization
Contact information
Practice address
4674-2 HOOD RD, JACKSONVILLE, FL 32257-1114
(904) 288-7259
(904) 288-7260
Mailing address
PO BOX 24925, JACKSONVILLE, FL 32241-4925
(904) 288-7259
(904) 288-7260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5888
FL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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