NPI 1255973343 · live from the CMS NPI Registry
Anna Angelo, BCBA
Behavior Analyst in Southfield, MI. National Provider Identifier 1255973343, active.
NPI record
| NPI | 1255973343 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 30503 Greenfield Rd, Southfield, MI 48076 |
| Practice phone | 248-691-4744 |
| Mailing address | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033 |
| Enumerated | October 10, 2019 |
| Last updated | October 1, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 7401003390 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.