Individual provider · NPI-1
Kelin Johanna Angulo
Behavior Technician · Katy, TX
NPI number1790242907
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1790242907
- Entity type
- Individual (NPI-1)
- Name
- Kelin Johanna Angulo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2019
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-88681 | FL | Yes |
| 103K00000X | Behavior Analyst | 103K00000X | FL |
Practice location
25602 Camilla Mae CtKaty, TX 77493-5076
Phone 195-450-5936
Mailing address
25602 Camilla Mae CtKaty, TX 77493-5076
Phone 195-450-5936
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