Provider Demographics
NPI:1750931408
Name:STOY, ANGELES LASANTA (RBT)
Entity type:Individual
Prefix:MRS
First Name:ANGELES
Middle Name:LASANTA
Last Name:STOY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 OSPREY HAMMOCK TRL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8110
Mailing Address - Country:US
Mailing Address - Phone:407-878-8190
Mailing Address - Fax:
Practice Address - Street 1:250 OSPREY HAMMOCK TRL
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8110
Practice Address - Country:US
Practice Address - Phone:407-878-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL102341000106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician