Individual
MS. ANGELICA DENISE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307B E SUNRISE AVE, THOMASVILLE, NC 27360-5213
(336) 965-4244
Mailing address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000027433597
NC
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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