Individual
ANGELA LYNN BIRNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 MT HIGHWAY 35, KALISPELL, MT 59901-2464
(406) 755-2425
Mailing address
1725 MT HIGHWAY 35, KALISPELL, MT 59901-2464
(406) 755-2425
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-125171
MT
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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