Angela Sue Lunsford
Individual provider Active NPI Behavior Technician · Hanover, IN
NPI 1124836705 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1124836705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 615009 (IN)
- Practice address
- 273 S Main Cross St
Hanover, IN 47243-9309 - Phone
- (812) 701-8266
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615009 | IN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 615009 | IN | Yes |
Addresses
Primary practice location
273 S Main Cross St
Hanover, IN 47243-9309
Mailing address
10373 W State Road 56
Lexington, IN 47138-7025
Phone (812) 701-8266
Other providers in Hanover, IN
- Hook-Superx LLC
- Hoosier Care II
- David Allen Johnson
- Nathan Kampwerth
- Adam Kemple
- Magnolia Health Systems
- Alexandra Mahony
- Rodney Marquez
- Yvonne Jeanne McKeever
- Sierra Rae Midkiff
All providers in Hanover, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.