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NPI Code Detail

MEDICARE: ANGELA LE

MEDICARE: ANGELA LE
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 : 1639034101
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA LE
Provider Business Mailing Address
First Line : 3320 DATA DR STE 400
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7341
Country : US
Telephone Number : 916-564-5010
Fax Number :
Provider Business Practice Location Address
First Line : 3320 DATA DR STE 400
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7341
Country : US
Telephone Number : 916-564-5010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ ANGELA LE ” Practice Location

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