Individual provider · Type 1 NPI
Angela Nicole Mangum
Behavior Analyst · O Fallon, IL
Practice location
634 N Main St Ste 4
O Fallon, IL 62269-3746
Mailing address
21600 Oxnard St # ARE1800
Woodland Hills, CA 91367-4976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst Primary | 103K00000X | M52501485731 (IL) |
Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…
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About NPI 1821598293
Angela Nicole Mangum's National Provider Identifier is 1821598293, issued on Feb 13, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in O Fallon, IL. The record was last updated on Feb 13, 2018.