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Individual

ANGELICA LIGHTFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7689 N LOOP 1604, LIVE OAK, TX 78233
(210) 580-5890
Mailing address
4400 THOREAU CV, MEMPHIS, TN 38125-3000
(901) 619-8128

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7715
TX
106S00000X
Behavior Technician

Other

Enumeration date
07/22/2022
Last updated
11/19/2024
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