Individual
ANGELA MODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 LAFAYETTE AVE, TOMS RIVER, NJ 08753-7720
(732) 232-1295
Mailing address
52 TIOGA DR, HOWELL, NJ 07731-2446
(917) 886-7051
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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