Angel Edwards

NPI #1205375334 in Gatesville, Texas

Provider Information

NPI Number: 1205375334
Entity Type: Individual
Name: Angel Edwards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 22, 2017
Last Updated: Feb 22, 2017

Practice Location

Address: 136 NORTH 28TH STREET
City: Gatesville
State: Texas
ZIP Code: 76528
Phone: (719) 217-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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