NPI 1053862672 · live from the CMS NPI Registry
Amy Angell, BCBA
Behavior Analyst in Plainfield, IN. National Provider Identifier 1053862672, active.
NPI record
| NPI | 1053862672 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 451 Apex Dr Apt 202, Plainfield, IN 46168 |
| Practice phone | 317-967-1479 |
| Enumerated | October 18, 2016 |
| Last updated | September 18, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-33128 |
| Behavior Analyst | 103K00000X | 12310547-2506 (UT) |
| Behavior Analyst | 103K00000X | 1070 (TN) |
| Behavior Analyst | 103K00000X | 0133002894 (VA) |
| Behavior Analyst primary | 103K00000X | BA-790 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.