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Individual

MISS ANGELA MICHELLE MALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 N BEAUREGARD ST STE 100, ALEXANDRIA, VA 22311-1732
(202) 420-8359
Mailing address
9727 GEORGIA AVE, SILVER SPRING, MD 20910-1458

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000950
VA
103K00000X
Behavior Analyst
LBA432
MD
103TC2200X
Clinical Child & Adolescent Psychologist
6361000361
MI

Other

Enumeration date
08/29/2012
Last updated
01/20/2022
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