Individual
ANGELIS CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
806 W BEACON RD, LAKELAND, FL 33803-2847
(863) 220-1205
Mailing address
806 W BEACON RD, LAKELAND, FL 33803-2847
(863) 220-1205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113625800
—
FL
Enumeration date
09/30/2021
Last updated
08/20/2025
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