Individual provider Active NPI

Angela Lee

  • Behavior Analyst
  • Lenoir City, TN
National Provider Identifier
1336592781
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-22906 Issued in CO
Practice address
16239 Highway 70 E
Lenoir City, TN 37772-5475
Phone
(865) 333-2386
NPI assigned
Jul 21, 2016
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 1-16-22906 CO Primary

Addresses

Primary practice location

16239 Highway 70 E
Lenoir City, TN 37772-5475

Mailing address

16239 Highway 70 E
Lenoir City, TN 37772-5475
Phone (865) 333-2386

Other practice location 1

9038 Cross Park Dr Ste 105
Knoxville, TN 37923-4729
Phone (865) 394-6612

Other practice location 2

1508 Coleman Rd
Knoxville, TN 37909-3808
Phone (865) 333-2386

Other identifiers 2

IdentifierTypeStateIssuer
LBA182OtherSTATE OF TN
1-16-22906OtherTNBACB

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Next Steps CurrentSince Sep 5, 2021 Accepting new patients
ABA Interventions, LLC Behavior Analyst PastSince Nov 1, 2020 Accepting new patients

Locations

16239 Highway 70 E
Lenoir City, TN 37772
Phone (865) 333-2386

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1336592781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16239 HIGHWAY 70 E",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725475",
            "telephone_number": "865-333-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16239 HIGHWAY 70 E",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725475",
            "telephone_number": "865-333-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9038 Cross Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234729",
            "country_code": "US",
            "telephone_number": "865-394-6612",
            "fax_number": "865-315-7014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 Coleman Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379093808",
            "country_code": "US",
            "telephone_number": "865-333-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-16-22906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN",
            "identifier": "LBA182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-16-22906",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.