Most Relevant Information
Provider Data
| NPI Number: | 1003553538 |
| Provider Name: | ANGEL M JOVELLANA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2022 |
| Last Updated: | 05/17/2022 |
Provider Practice Location
255 E RINCON ST STE 219
CORONA
CA
928791387
Practice Location Phone/Fax
| Phone: | 9518175328 |
| Fax: |
Provider Mailing Location
1063 SEA LAVENDER LN
BEAUMONT
CA
922238315
Provider Mailing Phone/Fax
| Phone: | 9514496556 |
| Fax: |