Angie C. Long
Behavior Technician in Middletown, NJ. Individual provider (NPI-1).
NPI number1194582007
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1194582007
- Entity type
- Individual (NPI-1)
- Name
- Angie C. Long
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2024
- Certification date
- Mar 2, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | GA | Yes |
Practice location
1385 Hwy 35 # 284Middletown, NJ 07748-2012
Phone 857-829-4040
Mailing address
5401 Forest East LnStone Mountain, GA 30088-2927
Phone 678-662-1609
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All 21 Behavior Technician providers in Middletown · All 484 providers in Middletown
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