Most Relevant Information
Provider Data
| NPI Number: | 1003386764 |
| Provider Name: | ANGELICA HERMELINDA NILA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/26/2018 |
| Last Updated: | 11/26/2018 |
Provider Practice Location
2617 MEDINAH CT
MODESTO
CA
953559666
Practice Location Phone/Fax
| Phone: | 2095665269 |
| Fax: |
Provider Mailing Location
2617 MEDINAH CT
MODESTO
CA
953559666
Provider Mailing Phone/Fax
| Phone: | 2095665269 |
| Fax: |