Agudo, Angel Ray

Agudo, Angel Ray is an sole proprietor health care provider with primary practice located at 225 S 11Th St , San Jose CA 95112-2135. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Agudo, Angel Ray can be contacted via phone (909) 835-5233.

Contact Information

Primary practice address
225 S 11Th St San Jose CA 95112-2135
Phone: (909) 835-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1790187482
LBN Legal business name Agudo, Angel Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2014
Last updated Feb 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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