Provider Demographics
NPI:1891553269
Name:GIOSIA, ANGELA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:GIOSIA
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1241
Mailing Address - Country:US
Mailing Address - Phone:856-761-6251
Mailing Address - Fax:
Practice Address - Street 1:608 HAMILTON RD
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1241
Practice Address - Country:US
Practice Address - Phone:856-761-6251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-17-25969103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst