Individual
ANGELA GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 DEMOCRACY LANE, SUITE 102B AND 103, FAIRFAX, VA 22030
(571) 386-0871
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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