Russo, Angela Marie
Russo, Angela Marie is an sole proprietor health care provider with primary practice located at 801 Corporate Center Dr Ste 210 , Pomona CA 91768-2627. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russo, Angela Marie can be contacted via phone (909) 618-0974.Contact Information
Primary practice address
801 Corporate Center Dr Ste 210
Pomona CA 91768-2627
Phone: (909) 618-0974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-24693 | California |
Profile Details
| NPI number | 1053841858 |
|---|---|
| LBN Legal business name | Russo, Angela Marie |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Jun 20th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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