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NPI Code Detail

MEDICARE: ANABELLE ANGELES

MEDICARE: ANABELLE ANGELES
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1700461498
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANABELLE ANGELES
Provider Business Mailing Address
First Line : 6060 N COLLEGE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1907
Country : US
Telephone Number : 317-815-5501
Fax Number :
Provider Business Practice Location Address
First Line : 550 SPRINGFIELD AVE
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-1016
Country : US
Telephone Number : 908-913-6257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2021
Last Update Date : 03/20/2021

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Directions to “ ANABELLE ANGELES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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