Angel Luis Coriano
Behavior Technician in Springfield, MA. Individual provider (NPI-1).
NPI number1619709888
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1619709888
- Entity type
- Individual (NPI-1)
- Name
- Angel Luis Coriano
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2024
- Certification date
- Dec 30, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
136 William StSpringfield, MA 01105-2324
Phone 413-258-7316
Mailing address
136 William StSpringfield, MA 01105-2324
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