Individual
MRS. ANGELINA JEANAIT WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
3550 CAMINO DEL RIO N STE 104, SAN DIEGO, CA 92108
(760) 815-6779
Mailing address
3550 CAMINO DEL RIO NORTH, SUITE 104, SAN DIEGO, CA 92108
(347) 665-8299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31561
CA
Other
Enumeration date
08/14/2015
Last updated
11/02/2021
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