Individual
ANGELA MARIE TIBERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 QUINCY CT, STERLING, VA 20165-5755
(302) 690-4883
Mailing address
213 EILEENS WAY, HOCKESSIN, DE 19707-9193
(302) 690-4883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-29931
DE
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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