Individual
ANGELINA BOYZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 E EDGEWOOD DR STE 130, LAKELAND, FL 33803-3667
(813) 655-8159
Mailing address
2019 E EDGEWOOD DR, LAKELAND, FL 33803-3666
(813) 655-8159
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
RBT-19-96775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104110600
—
FL
Enumeration date
11/04/2019
Last updated
03/06/2025
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