Individual
ANGELA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9840 57TH AVE, APARTMENT 16N, CORONA, NY 11368-3667
(718) 271-2635
Mailing address
9840 57TH AVE, APARTMENT 16N, CORONA, NY 11368-3667
(718) 271-2635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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