Angelique M Fonseca

NPI #1023616737 in Modesto, California

Provider Information

NPI Number: 1023616737
Entity Type: Individual
Name: Angelique M Fonseca
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 3425 COFFEE RD STE C2
City: Modesto
State: California
ZIP Code: 95355-1582
Phone: (720) 377-5834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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