Individual provider Active NPI

Amy Angell, BCBA

  • Behavior Analyst
  • Plainfield, IN
National Provider Identifier
1053862672
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-790 Issued in HI
Practice address
451 Apex Dr Apt 202
Plainfield, IN 46168-5639
Phone
(317) 967-1479
NPI assigned
Oct 18, 2016
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-33128
Behavior Analyst 103K00000X 12310547-2506 UT
Behavior Analyst 103K00000X 1070 TN
Behavior Analyst 103K00000X 0133002894 VA
Behavior Analyst 103K00000X BA-790 HI Primary

Addresses

Primary practice location

451 Apex Dr Apt 202
Plainfield, IN 46168-5639

Mailing address

451 Apex Dr Apt 202
Plainfield, IN 46168-5639

Other practice location 1

2309 S Cameron Ave
Tampa, FL 33629-5701
Phone (317) 967-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BA-790HIMDBehavioral Analyst
12310547-2506UTMDBehavioral Analyst
0133002894VAMDBehavioral Analyst
1070TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Angells Behavior Consulting LLC Behavior Analyst CurrentSince Jan 1, 2021 Accepting new patients
Heartlinks ABA in LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1053862672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 APEX DR APT 202",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461685639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 APEX DR APT 202",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461685639",
            "telephone_number": "317-967-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 S Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336295701",
            "country_code": "US",
            "telephone_number": "317-967-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "AMY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33128",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "12310547-2506",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1070",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002894",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.