Most Relevant Information
Provider Data
| NPI Number: | 1003401381 |
| Provider Name: | ANGELICA MARIE ROMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2021 |
| Last Updated: | 03/08/2021 |
Provider Practice Location
262 WESTFIELD RD
HOLYOKE
MA
010401662
Practice Location Phone/Fax
| Phone: | 8182416780 |
| Fax: |
Provider Mailing Location
741 GLENVIA ST STE 200
GLENDALE
CA
912062427
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: |