Individual
MRS. ANGELA NICOLE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1075 WOODWARD AVE LOWR LEVEL, KINGSFORD, MI 49802-4434
(906) 828-2088
(906) 771-8080
Mailing address
1075 WOODWARD AVE LOWR LEVEL, KINGSFORD, MI 49802-4434
(906) 828-2088
(906) 771-8080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001053
MI
Other
Enumeration date
01/16/2020
Last updated
06/20/2023
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