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Individual

MRS. ANNIE K ANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
562 W GRAND AVE, ESCONDIDO, CA 92025-2502
(760) 691-9622
(442) 999-5740
Mailing address
562 W GRAND AVE, ESCONDIDO, CA 92025-2502
(760) 691-9622
(442) 999-5740

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32016
CA
106S00000X
Behavior Technician
CA

Other

Enumeration date
01/10/2018
Last updated
03/17/2022
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