Angela D Zolman, M.S. BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2024005681 Issued in MO

Practice address

300 Berry Rd
Bonne Terre, MO 63628-3580

Phone

(573) 431-3300

Fax

(573) 534-0182

NPI assigned

May 30, 2024

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1053151712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N FIRMAN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636013703",
            "telephone_number": "573-330-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BERRY RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283580",
            "telephone_number": "573-431-3300",
            "fax_number": "573-534-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLMAN",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.S. BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2024005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Williams, CPHT
• Mandy Ann Yates
• Constance L Young, FNP
• Catherine Ann Zakibe, COTA
• Charlotta P Zimmerman

• Behavior Analyst in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.