Individual
MRS. JULIE A ANGSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LBS
Contact information
Practice address
2160 SANDY DR STE D, STATE COLLEGE, PA 16803-2205
(814) 380-9180
Mailing address
2160 SANDY DR STE D, STATE COLLEGE, PA 16803-2205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB455459
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103793292-0004
—
PA
Enumeration date
08/04/2020
Last updated
11/14/2024
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