Individual
ANGELA SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 OLD VINES TRL, GREENWOOD, IN 46143-3412
(317) 494-8583
(317) 497-0254
Mailing address
1217 OLD VINES TRL, GREENWOOD, IN 46143-3412
(317) 494-8583
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/19/2020
Last updated
01/28/2022
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