Individual provider Active NPI

Angela W Reid, M.ED BCBA LBATX

  • Behavior Analyst
  • Sulphur Springs, TX
National Provider Identifier
1205427432
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3570 Issued in TX
Practice address
249 Cedar CRK
Sulphur Springs, TX 75482-1322
Phone
(281) 217-6680
NPI assigned
Jan 30, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3570 TX Primary

Addresses

Primary practice location

249 Cedar CRK
Sulphur Springs, TX 75482-1322

Mailing address

249 Cedar CRK
Sulphur Springs, TX 75482-1322
Phone (281) 217-6680

Other names 1

  • Angela Kay Reid Professional name

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
3570TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1205427432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CEDAR CRK",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754821322",
            "telephone_number": "281-217-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CEDAR CRK",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754821322",
            "telephone_number": "281-217-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ANGELA",
        "middle_name": "W",
        "credential": "M.ED BCBA LBATX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "REID",
            "middle_name": "KAY",
            "credential": "M.ED BCBA LBATX",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.