=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629928247
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANGELO STONE
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2026
-----------------------------------------------------
Last Update Date | 02/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7977 CAPWELL DR STE 200
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94621-2147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-748-4440
-----------------------------------------------------
Fax | 866-611-1718
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7977 CAPWELL DR STE 200
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94621-2147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-748-4440
-----------------------------------------------------
Fax | 866-611-1718
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------