Individual
MRS. ANGELA NICOLE SIMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3200 ZANKER RD, UNIT 1428, SAN JOSE, CA 95134-1943
(510) 219-9241
Mailing address
3200 ZANKER RD, UNIT 1428, SAN JOSE, CA 95134-1943
(510) 219-9241
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7392
CA
106S00000X
Behavior Technician
16-12782
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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