Most Relevant Information
Provider Data
| NPI Number: | 1003307174 |
| Provider Name: | ANGELIQUE WRIGHT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2018 |
| Last Updated: | 05/24/2018 |
Provider Practice Location
3031 C ST
SACRAMENTO
CA
958163326
Practice Location Phone/Fax
| Phone: | 9164422396 |
| Fax: |
Provider Mailing Location
3031 C ST
SACRAMENTO
CA
958163326
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |