Angela Antonio

NPI #1245004209 in Virginia Bch, Virginia

Provider Information

NPI Number: 1245004209
Entity Type: Individual
Name: Angela Antonio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 780 LYNNHAVEN PKWY STE 400
City: Virginia Bch
State: Virginia
ZIP Code: 23452-7332
Phone: (877) 418-2978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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