Individual provider Active NPI

Angela Marie Moering, MA, BCBA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1215466339
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33816 Issued in FL
Practice address
7594 W Sand Lake Rd
Orlando, FL 32819-5188
Phone
(800) 875-1871
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 1-18-33816 FL Primary

Addresses

Primary practice location

7594 W Sand Lake Rd
Orlando, FL 32819-5188

Mailing address

237 Shady Holw
Casselberry, FL 32707-4305
Phone (321) 439-1971

Other practice location 1

255 Primera Blvd
Lake Mary, FL 32746-2158
Phone (321) 439-1971

Other identifiers 1

IdentifierTypeStateIssuer
021264500MedicaidFL

Other names 1

  • Ms. Angela Marie Ingrassia Former 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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Creative ABA Connections, Inc Current Accepting new patients
ABA Healthcare, Inc. Behavior Analyst PastSince Mar 22, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1215466339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 SHADY HOLW",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074305",
            "telephone_number": "321-439-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7594 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195188",
            "telephone_number": "800-875-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Primera Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462158",
            "country_code": "US",
            "telephone_number": "321-439-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOERING",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-33816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021264500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "INGRASSIA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.