Individual
ANGIE BOLANOS- CASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
2091 BUSINESS CENTER DR, 150, IRVINE, CA 92612-1130
(949) 250-1101
(949) 250-1103
Mailing address
1111 VAN NESS AVE, FRESNO, CA 93721-2002
(559) 265-3000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-24325
CA
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/30/2016
Last updated
02/12/2025
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