Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA NICOLE MANGUM
ActiveANGELA NICOLE MANGUM is a Behavior Analyst healthcare provider located in O FALLON, Illinois. NPI 1821598293 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · O FALLON, IL
Registration Details
- NPI Number
- 1821598293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2018 (8.461676819797 yrs)
- Last Updated
- Feb 13, 2018
- License
-
M52501485731 (IL)
Practice Information
- Address
-
634 N MAIN ST STE 4O FALLON, IL, 622693746Browse IL providers · Browse ZIP 62269
- Phone
- 6187265870
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KEELY DEANNA LAWLER SABAINI | BCBA, M.S. | 1225479157 |
| CYARA LANETTE COLEMAN | ED.S, MA, BCBA, LBA | 1740796671 |
| DANIELLE MAGGIO | — | 1255830790 |
| JACLYN MARIE HERBSTREIT | — | 1174023253 |
| TAYLOR NICOLE VALENTINE | — | 1952801615 |
| SAMANTHA P LEIGH | BCBA | 1346741758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.