Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
ANGELA FELLENZ
Active
Individual
ANGELA FELLENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1138-140
WI
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
0-20-11369
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-20-11369
BACB CERTIFICATION #
WI
01
—
1-23-67656
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
01
—
1138-140
STATE OF WISCONSIN DIRECT LICENSING DEPT. OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
09/30/2020
Last updated
09/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers