Individual
ANGELA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113G N MARINE BLVD, JACKSONVILLE, NC 28540-6508
(910) 389-2790
Mailing address
113G N MARINE BLVD, JACKSONVILLE, NC 28540-6508
(910) 389-2790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-408585
NC
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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