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NPI Code Detail

MEDICARE: MEGAN ANGULO

MEDICARE: MEGAN ANGULO
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
2103K00000XBehavior Analyst1-19-39704FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760927594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ANGULO
Provider Business Mailing Address
First Line : 512 NEW ENGLAND CT APT 302
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2160
Country : US
Telephone Number : 305-726-3322
Fax Number :
Provider Business Practice Location Address
First Line : 1775 W STATE ROAD 434
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-5067
Country : US
Telephone Number : 407-919-6845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2017
Last Update Date : 03/15/2021

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Directions to “ MEGAN ANGULO ” Practice Location

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