Provider Information

Last Updated: Mar 4 2026 5:14 AM
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Angela C Macis

City
El Centro
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Macis
First Name
Angela
Middle Name
C
Address
1802 N. Imperial Ave. Ste D130
State
CA
Zip Code
92243
Phone
(855)832-6727
Hours
Mon - Fri 9:00 AM - 5:00 PM
Gender
F
Title
BCBA
Physician ID
308363
Section Number
A
County
IMPERIAL
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1164918264
License ID
BCB31170
Email
credentialing@tillytherapy.com
Board Certified
No
Panel Status
E

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