Angela Nicole Mangum Valid NPI
Individual provider · Behavior Analyst · O Fallon, IL
- NPI
- 1821598293
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- M52501485731 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-13
- Last updated
- 2018-02-13
Practice location
634 N Main St Ste 4
O Fallon, IL 62269-3746
(618) 726-5870