Individual
MISS ALEXANDRIA ANGELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2704 N OAK ST BLDG A1, VALDOSTA, GA 31602-5901
(229) 474-4384
(229) 598-0557
Mailing address
2704 N OAK ST BLDG A1, VALDOSTA, GA 31602-5901
(229) 474-4384
(229) 598-0557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-276056
GA
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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