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Individual

ANGELA ENDICOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
51 CAVALIER BLVD, FLORENCE, KY 41042-3966
(859) 279-0143
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(859) 279-0143

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
03/17/2026
Last updated
04/13/2026
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