Angela McClaskey, QASP-S

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63527 Issued in FL

Practice address

296 S Ferdon Blvd
Crestview, FL 32536-3702

Phone

(850) 333-1279

NPI assigned

Aug 19, 2020

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1336751445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363702",
            "telephone_number": "850-333-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLASKEY",
        "first_name": "ANGELA",
        "credential": "QASP-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-63527",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "11553",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB594799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QASP-S",
            "identifier": "11553",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-23-63527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Sedillo Mata, CO
• Hannah Matheson, COTA
• Eva Maria I Matute
• Alicia Nicole Maynor
• McKinze McAlister, APRN
• Renee Rowe McCormack, ARNP
• Stephen McCrea II, LMHC
• Elizabeth Ann McDowell, PNP
• Ranisha Elouise McDowell
• Caroline McGavock, OTR/L

• Behavior Analyst in Crestview, FL
• Providers in Crestview, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.