Provider Demographics
NPI:1922844000
Name:MORALES, ANGELA G (ABA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:G
Last Name:MORALES
Suffix:
Gender:F
Credentials:ABA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:G
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ABA
Mailing Address - Street 1:27206 CALAROGA AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4354
Mailing Address - Country:US
Mailing Address - Phone:510-881-2923
Mailing Address - Fax:
Practice Address - Street 1:27206 CALAROGA AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4354
Practice Address - Country:US
Practice Address - Phone:510-881-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician