Most Relevant Information
Provider Data
| NPI Number: | 1003485319 |
| Provider Name: | ANGELA CAVINESS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2021 |
| Last Updated: | 06/21/2021 |
Provider Practice Location
4929 DARCY WOODS LN
FUQUAY VARINA
NC
275267622
Practice Location Phone/Fax
| Phone: | 9198101459 |
| Fax: |
Provider Mailing Location
4929 DARCY WOODS LN
FUQUAY VARINA
NC
275267622
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |