Individual
ANGELICA HAILEY HUETTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
(510) 268-8120
Mailing address
20 GREEN WAY APT 14, SAN RAFAEL, CA 94901-5734
(530) 313-3289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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