Angela Mitasky

NPI #1326806977 in Richardson, Texas

Provider Information

NPI Number: 1326806977
Entity Type: Individual
Name: Angela Mitasky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 8, 2024
Last Updated: Mar 8, 2024

Practice Location

Address: 1090 W CAMPBELL RD STE 300
City: Richardson
State: Texas
ZIP Code: 75080-2995
Phone: (833) 646-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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