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NPI Code Detail

MEDICARE: KRISTA ANGELL

MEDICARE: KRISTA ANGELL
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 : 1902755143
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA ANGELL
Provider Business Mailing Address
First Line : 295 89TH ST STE 306
Second Line :
City : DALY CITY
State : CA
Zip : 94015-1656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10202 5TH AVE NE FL 2
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7472
Country : US
Telephone Number : 877-264-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ KRISTA ANGELL ” 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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