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Individual

ANGELA CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(800) 538-8365
Mailing address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(800) 538-8365

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
224Z00000X
Occupational Therapy Assistant
CA1105
CA

Other

Enumeration date
09/28/2011
Last updated
08/17/2022
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