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Individual

AMY ANGELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
451 APEX DR APT 202, PLAINFIELD, IN 46168-5639
(317) 967-1479
Mailing address
451 APEX DR APT 202, PLAINFIELD, IN 46168-5639

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002894
VA
103K00000X
Behavior Analyst
1-18-33128
103K00000X
Behavior Analyst
1070
TN
103K00000X
Behavior Analyst
12310547-2506
UT
103K00000X
Behavior Analyst
Primary
BA-790
HI

Other

Enumeration date
10/18/2016
Last updated
09/18/2025
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