Individual
MISS ANGELICA NOEL COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3424 MOTOR AVE, LOS ANGELES, CA 90034-4710
(424) 672-6700
Mailing address
10720 LAKEWOOD BLVD APT 339, DOWNEY, CA 90241-3598
(203) 444-0965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54237
CA
106S00000X
Behavior Technician
RBT-18-69156
CA
Other
Enumeration date
05/19/2020
Last updated
10/25/2021
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