Angel Wildgoose
Angel Wildgoose is a Behavior Technician in Lutz, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
18288 N US Highway 41Lutz, FL 33549-4400
Phone: (813) 527-9638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-319843 (FL) |
|---|
Record details
| NPI number | 1528838182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2024 |
| Last updated in NPPES | January 4, 2024 |
| Certification date | January 4, 2024 |
| Mailing address | 18288 N Us Highway 41, Lutz, FL 33549-4400 |
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