Individual
MRS. KATHERINE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBS, BCBA
Contact information
Practice address
510 N PARK RD STE 2, WYOMISSING, PA 19610-2941
(484) 516-2330
Mailing address
517 WELLINGTON AVE, READING, PA 19609-2313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35453
PA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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