Chelsea Angle
Individual provider Active NPI Behavior Technician · O Fallon, IL
NPI 1316583305 · NPPES record last updated Nov 25, 2019
Key facts
- NPI
- 1316583305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945 - Phone
- (618) 206-8816
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Health of Illinois, LLC | Current |
Accepting new patients |
Locations
6 Eagle Ctr
Ste 1
O Fallon, IL 62269
Phone (618) 206-8816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945
Mailing address
6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945
Other providers in O Fallon, IL
- Amy C Champion, LLC
- Hallie Anderson
- Stephanie Anderson
- Jessica Vaughan Andrews
- Tyler Andrews
- Anit Care Services of Illinois
- Venkatesh Anjan
- Anns Lingerie and Mastectomy Center Inc
- Anthony W Peck, D.C.
- Apg Medical Laboratory
All providers in O Fallon, IL · Behavior Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2019. 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.