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NPI Code Detail

MEDICARE: ANGELA HUDSON

MEDICARE: ANGELA HUDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1437086634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA HUDSON
Provider Business Mailing Address
First Line : 613 MCLAMB ST
Second Line :
City : ROSEBORO
State : NC
Zip : 28382-9040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 209 W MAIN ST
Second Line :
City : CLINTON
State : NC
Zip : 28328-4048
Country : US
Telephone Number : 910-214-3805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ ANGELA HUDSON ” Practice Location

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